| Elizabeth Pankow, DPM | |
|
6145 N Thesta St, Fresno, CA 93710-5266 | |
| (559) 436-4820 | |
| Not Available |
| Full Name | Elizabeth Pankow |
|---|---|
| Gender | Female |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 6145 N Thesta St, Fresno, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467031088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 007419 (New York) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E6104 (California) | Primary |
| Provider Name | Eastern Podiatry Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235433327 PECOS PAC ID: 1951448711 Enrollment ID: O20110405000194 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Pankow, DPM 90 Saint Marks Pl Apt 4c, Staten Island, NY 10301-1662 Ph: (503) 936-1988 | Elizabeth Pankow, DPM 6145 N Thesta St, Fresno, CA 93710-5266 Ph: (559) 436-4820 |
Carl Christenson, Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7687 N 9th St, Fresno, CA 93720 Phone: 559-917-3668 | |
Robert Kendall Buckenberger, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1642 E Herndon Ave, Suite 103, Fresno, CA 93720 Phone: 559-439-8642 Fax: 559-433-9834 | |
Emmy Agwu Oji, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1247 E Alluvial Ave, Suite 101, Fresno, CA 93720 Phone: 559-431-6226 Fax: 559-440-9005 | |
Dr. Patrick William Mullen, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6335 N Fresno St, #208, Fresno, CA 93710 Phone: 559-435-0220 Fax: 559-435-9160 | |
Fred H. Nagata, D.p.m., Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1191 E Herndon Ave Ste 101, Fresno, CA 93720 Phone: 559-435-3039 Fax: 559-435-1105 | |
Limb Preservation Platform, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2550 Merced St, Fresno, CA 93721 Phone: 800-714-8011 Fax: 800-496-3077 | |
Dr. Franklyn C Jones, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6335 N Fresno St Ste 102, Fresno, CA 93710 Phone: 559-438-0283 Fax: 559-438-9201 |