| Family Foot And Ankle Clinic, Pa | |
|
3790 117th Ln Nw, Coon Rapids, MN 55433-2666 | |
| (763) 421-7300 | |
| (763) 421-3337 |
| Full Name | Family Foot And Ankle Clinic, Pa |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 3790 117th Ln Nw, Coon Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275534885 | NPI | - | NPPES |
| 111898 | Other | MN | UCARE |
| 027300700 | Medicaid | MN | |
| 7B213FA | Other | MN | BLUE CROSS BLUE SHIELD |
| 33942 | Other | MN | HEALTH PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 1924011 (Minnesota) | Primary |
| Provider Name | Richard P Cervenka |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306832464 PECOS PAC ID: 0446297766 Enrollment ID: I20050408000356 |
| Provider Name | Jeffrey L Mich |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912908435 PECOS PAC ID: 1759318140 Enrollment ID: I20050718000479 |
| Provider Name | David J Neese |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578564092 PECOS PAC ID: 4284661679 Enrollment ID: I20050718000495 |
| Provider Name | Scott B Saxe |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619978103 PECOS PAC ID: 0143257956 Enrollment ID: I20050725000034 |
| Provider Name | Nathan Aaron Lam |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558775304 PECOS PAC ID: 5395042048 Enrollment ID: I20170905003573 |
| Provider Name | Christopher A Neese |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922481761 PECOS PAC ID: 5597062141 Enrollment ID: I20180625003160 |
| Provider Name | Allison Damon Willkom |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699137372 PECOS PAC ID: 4981997152 Enrollment ID: I20190801000292 |
| Mailing Address | Practice Location Address |
|---|---|
| Family Foot And Ankle Clinic, Pa 3790 117th Ln Nw, Coon Rapids, MN 55433-2666 Ph: (763) 421-7300 | Family Foot And Ankle Clinic, Pa 3790 117th Ln Nw, Coon Rapids, MN 55433-2666 Ph: (763) 421-7300 |
Dr. Nicole M Cullen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Brian J Greteman, DPM, PA Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3883 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-422-0233 Fax: 763-422-9640 | |
Richard Peter Cervenka, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3790 117th Ln Nw, Coon Rapids, MN 55433 Phone: 763-421-7300 Fax: 763-421-3337 | |
Dr. Keith A Canter, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3790 117th Ln Nw, Coon Rapids, MN 55433 Phone: 763-571-7142 | |
Nathan Aaron Lam, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 | |
Dr. David Joseph Neese, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 3790 117th Ln Nw, Coon Rapids, MN 55433 Phone: 763-421-7300 Fax: 763-421-3337 |