| Foot Specialists Of Greater Cincinnati | |
| 
					2865 Chancellor Dr, Suite 205, Crestview Hills, KY 41017-3931  | |
| (859) 341-9900 | |
| (859) 341-1649 | 
| Full Name | Foot Specialists Of Greater Cincinnati | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist - Foot Surgery | 
| Location | 2865 Chancellor Dr, Crestview Hills, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235152448 | NPI | - | NPPES | 
| 2440449000 | Other | PASSPORT ADVANTAGE | |
| 4111020001 | Other | PALMETTO | |
| 80900004 | Medicaid | KY | |
| 1169438 | Other | PASSPORT HEALTH | |
| 411020001 | Other | DMEPOS | |
| 6113170095003 | Other | TRICARE | |
| 18D2083494 | Other | KY | CLIA | 
| 4111020003 | Other | PALMETTO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | (* (Not Available)) | Primary | 
| Provider Name | Michael J Grant | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1306940408 PECOS PAC ID: 9739071283 Enrollment ID: I20040329000555  | 
| Provider Name | Charles M Tirone | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1568476091 PECOS PAC ID: 6204749617 Enrollment ID: I20090416000260  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Foot Specialists Of Greater Cincinnati 2865 Chancellor Dr, Suite 205, Crestview Hills, KY 41017-3931 Ph: (859) 341-9900  | Foot Specialists Of Greater Cincinnati 2865 Chancellor Dr, Suite 205, Crestview Hills, KY 41017-3931 Ph: (859) 341-9900  | 
Mr. Michael J Grant, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2865 Chancellor Dr Ste 205, Crestview Hills, KY 41017 Phone: 859-341-9900 Fax: 859-341-1649  | |
Gregory A Worley, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 351 Centre View Blvd, Crestview Hills, KY 41017 Phone: 859-212-0175  | |
Dr. Charles M Tirone, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2865 Chancellor Drive, Suite 205, Crestview Hills, KY 41017 Phone: 859-341-9900 Fax: 859-341-1649  | |
David W Robertson, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2865 Chancellor Dr, Suite 205, Crestview Hills, KY 41017 Phone: 859-341-9900 Fax: 859-341-1649  |