| Foot & Ankle Medical Center, Llc | |
|
3640 High St, Suite D1, Portsmouth, VA 23707-3213 | |
| (757) 393-1074 | |
| (757) 318-7003 |
| Full Name | Foot & Ankle Medical Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 3640 High St, Portsmouth, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740588425 | NPI | - | NPPES |
| 232438625 | Other | VA | TRICARE |
| 009303405 | Medicaid | VA | |
| 057781 | Other | VA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 0103000751 (Virginia) | Primary |
| Provider Name | Peter R Grinkewitz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922191394 PECOS PAC ID: 6709068786 Enrollment ID: I20110311000705 |
| Mailing Address | Practice Location Address |
|---|---|
| Foot & Ankle Medical Center, Llc Po Box 55350, Virginia Beach, VA 23471-9350 Ph: (757) 393-1074 | Foot & Ankle Medical Center, Llc 3640 High St, Suite D1, Portsmouth, VA 23707-3213 Ph: (757) 393-1074 |
Dr. Cory Allan Negri, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5709 Churchland Blvd, B, Portsmouth, VA 23703 Phone: 757-484-7412 Fax: 757-686-8049 | |
Dr. Camille Ryans, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: Nmc, Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 Phone: 757-953-1812 | |
Cmp Foot And Ankle Services L.l.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 436 Dinwiddie St Apt 1, Portsmouth, VA 23704 Phone: 757-392-4974 | |
Dr. John Martin Aalto, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1813 | |
Dr. Keith Anthony Jones, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1838 | |
Dr. Dawn Yvette Bell, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1813 Fax: 757-953-0815 | |
Minhtam T Thai, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 4106 Portsmouth Blvd, Portsmouth, VA 23701 Phone: 757-393-1136 Fax: 757-698-2499 |