Footcare Home Visits is a medicare enrolled "Podiatrist" provider in Mount Ephraim, New Jersey. Their current practice location is
40 W Kings Hwy, Mount Ephraim, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(856) 780-0779.
Footcare Home Visits is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Footcare Home Visits
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1023691177.
Healthcare Provider's Profile
| Full Name | Footcare Home Visits |
|---|
| Type | Facility |
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| Speciality | Podiatrist |
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| Location | 40 W Kings Hwy, Mount Ephraim, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023691177
- Provider Enumeration Date: 05/05/2021
- Last Update Date: 04/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 9335548619
- Enrollment ID: O20210519001901
Medical Identifiers
Medical identifiers for Footcare Home Visits such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023691177 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Footcare Home Visits acts as a billing entity for following providers:
| Provider Name | Dana M Canuso |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1164740031
PECOS PAC ID: 3577749621
Enrollment ID: I20110525000498 |
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| Provider Name | Jade M Gray |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1518227578
PECOS PAC ID: 5799926507
Enrollment ID: I20130720000030 |
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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. Footcare Home Visits is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Footcare Home Visits
406 Hazelwood Ln,
Marlton, NJ 08053-4706
Ph: (856) 780-0779 | Footcare Home Visits
40 W Kings Hwy,
Mount Ephraim, NJ 08059-1303
Ph: (856) 780-0779 |
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