| Footcare Home Visits | |
|
40 W Kings Hwy, Mount Ephraim, NJ 08059-1303 | |
| (856) 780-0779 | |
| Not Available |
| Full Name | Footcare Home Visits |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 40 W Kings Hwy, Mount Ephraim, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023691177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Dana M Canuso |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164740031 PECOS PAC ID: 3577749621 Enrollment ID: I20110525000498 |
| Provider Name | Jade M Gray |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518227578 PECOS PAC ID: 5799926507 Enrollment ID: I20130720000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Footcare Home Visits 2 Cheryl Ct, Marlton, NJ 08053-4929 Ph: (856) 780-0779 | Footcare Home Visits 40 W Kings Hwy, Mount Ephraim, NJ 08059-1303 Ph: (856) 780-0779 |
Dr. Dana Canuso, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 40 W Kings Hwy, Mount Ephraim, NJ 08059 Phone: 856-780-0779 | |
Dr. Melissa B Chiesa, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 40 W Kings Hwy, Mount Ephraim, NJ 08059 Phone: 856-780-0779 | |
Jade Marie Gray, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 40 W Kings Hwy, Mount Ephraim, NJ 08059 Phone: 856-780-0779 |