Foot & Ankle Clinic Of South Boston Pc is a
Podiatrist based in South Boston, Virginia. Foot & Ankle Clinic Of South Boston Pc is licensed to practice in Virginia (license number 0103000792) and their current practice location is
405 A Oak Lane, South Boston, Virginia. It can be reached at their office (for appointments etc.) via phone at
(434) 572-1444.
NPI number for Foot & Ankle Clinic Of South Boston Pc is 1750323101 and their current mailing address is 405 A Oak Lane, South Boston, Virginia. Foot & Ankle Clinic Of South Boston Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1750323101.
Healthcare Provider's Profile
| Full Name | Foot & Ankle Clinic Of South Boston Pc |
|---|
| Type | Facility |
|---|
| Speciality | Podiatrist |
|---|
| Location | 405 A Oak Lane, South Boston, Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750323101
- Provider Enumeration Date: 06/11/2006
- Last Update Date: 11/12/2014
Medical Identifiers
Medical identifiers for Foot & Ankle Clinic Of South Boston Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750323101 | NPI | - | NPPES |
| 480021195 | Other | | RAILROAD |
| VAA102502 | Other | VA | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 213E00000X | Podiatrist | 0103000792 (Virginia) | Primary |
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. Foot & Ankle Clinic Of South Boston Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Foot & Ankle Clinic Of South Boston Pc 405 A Oak Lane, South Boston, VA 24592-1633 Ph: (434) 572-1444 | Foot & Ankle Clinic Of South Boston Pc 405 A Oak Lane, South Boston, VA 24592 Ph: (434) 572-1444 |
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