Fitchburg Podiatry Llc is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Fitchburg, Wisconsin. Their current practice location is
2960 Triverton Pike Dr Ste 107, Fitchburg, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(307) 714-2316.
Fitchburg Podiatry Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Fitchburg Podiatry Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1629892674.
Healthcare Provider's Profile
| Full Name | Fitchburg Podiatry Llc |
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| Type | Facility |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 2960 Triverton Pike Dr Ste 107, Fitchburg, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629892674
- Provider Enumeration Date: 11/14/2024
- Last Update Date: 12/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719415504
- Enrollment ID: O20250107002497
Medical Identifiers
Medical identifiers for Fitchburg Podiatry Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629892674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Fitchburg Podiatry Llc acts as a billing entity for following providers:
| Provider Name | Mary Elizabeth Hickner |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1043730625
PECOS PAC ID: 6406249440
Enrollment ID: I20220215001492 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fitchburg Podiatry Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Fitchburg Podiatry Llc
2960 Triverton Pike Dr Ste 107,
Fitchburg, WI 53711-7516
Ph: (307) 714-2316 | Fitchburg Podiatry Llc
2960 Triverton Pike Dr Ste 107,
Fitchburg, WI 53711-7516
Ph: (307) 714-2316 |
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