| Foot And Ankle Clinic Of The Virginias Inc | |
|
401 Rogers St, Princeton, WV 24740-3636 | |
| (800) 292-3008 | |
| (412) 291-1552 |
| Full Name | Foot And Ankle Clinic Of The Virginias Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 401 Rogers St, Princeton, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740227909 | NPI | - | NPPES |
| DD3197 | Other | WV | RAILROAD MEDICARE |
| 3810007768 | Medicaid | WV | |
| 010201641 | Medicaid | VA | |
| 001706519 | Other | WV | MOUNTAIN STATE BC BS |
| Provider Name | Martin Matthew Mrozek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437119856 PECOS PAC ID: 2163463027 Enrollment ID: I20050524000784 |
| Provider Name | Timothy J Donatelli |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982667903 PECOS PAC ID: 0345281648 Enrollment ID: I20050607000458 |
| Provider Name | James Louis Chianese |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932159704 PECOS PAC ID: 8820099245 Enrollment ID: I20070126000387 |
| Provider Name | Mark T Wilt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053580696 PECOS PAC ID: 9537234463 Enrollment ID: I20090923000012 |
| Provider Name | Daniel K Chianese |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831405380 PECOS PAC ID: 2466640057 Enrollment ID: I20101227000102 |
| Provider Name | Luciano L Serdoz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144328659 PECOS PAC ID: 1052509239 Enrollment ID: I20110204000865 |
| Provider Name | Joseph G Protain |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1083669097 PECOS PAC ID: 5698770063 Enrollment ID: I20140402001669 |
| Provider Name | Douglas Stewart Dockery |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669433231 PECOS PAC ID: 9032357199 Enrollment ID: I20141106000104 |
| Provider Name | Seth Thomas Craft |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942565239 PECOS PAC ID: 8628382256 Enrollment ID: I20150727002327 |
| Provider Name | Marshal Thomas Gwynn |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407173982 PECOS PAC ID: 8224270038 Enrollment ID: I20160712000664 |
| Provider Name | Jeremy Brouillette |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477969806 PECOS PAC ID: 0749558252 Enrollment ID: I20170623001800 |
| Provider Name | Jungmin Yoo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558752485 PECOS PAC ID: 8325316789 Enrollment ID: I20181218000767 |
| Provider Name | Bradley Henry Hoffman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093166076 PECOS PAC ID: 2668713660 Enrollment ID: I20190401000107 |
| Provider Name | William Weily |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912197146 PECOS PAC ID: 6709942378 Enrollment ID: I20200924001789 |
| Provider Name | Richard Conley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730449497 PECOS PAC ID: 4082910534 Enrollment ID: I20230621002920 |
| Provider Name | Ernest Luczkowski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457764375 PECOS PAC ID: 4082986112 Enrollment ID: I20240416001625 |
| Mailing Address | Practice Location Address |
|---|---|
| Foot And Ankle Clinic Of The Virginias Inc Po Box 825159, Philadelphia, PA 19182-5159 Ph: (800) 292-3008 | Foot And Ankle Clinic Of The Virginias Inc 401 Rogers St, Princeton, WV 24740-3636 Ph: (800) 292-3008 |
Dr. Mark T Wilt, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 401 Rogers St, Princeton, WV 24740 Phone: 304-487-9442 Fax: 330-629-9181 | |
Dr. Bradley Henry Hoffman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 401 Rogers St, Princeton, WV 24740 Phone: 540-982-2463 | |
Robert Knox, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 401 Rogers St, Princeton, WV 24740 Phone: 800-292-3008 Fax: 330-629-9181 | |
Dr. Marshal T Gwynn, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 401 Rogers St, Princeton, WV 24740 Phone: 304-487-9442 Fax: 330-536-0069 | |
Dr. Anthony P Zarra, D.P.M Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 401 Rogers St, Princeton, WV 24740 Phone: 304-487-9442 | |
Dr. Douglas Stewart Dockery, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 401 Rogers St, Princeton, WV 24740 Phone: 304-487-9442 Fax: 330-536-0069 |