Fox River Foot & Ankle Center Pc is a medicare enrolled "Durable Medical Equipment & Medical Supplies" provider in Coal City, Illinois. Their current practice location is
810 E Division St, Coal City, Illinois. You can reach out to their office (for appointments etc.) via phone at
(815) 634-2324.
Fox River Foot & Ankle Center Pc is licensed to practice in Illinois (license number 016004700) and it also participates in the medicare program. Fox River Foot & Ankle Center Pc
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 1104943786.
Healthcare Provider's Profile
| Full Name | Fox River Foot & Ankle Center Pc |
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| Type | Facility |
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| Speciality | Durable Medical Equipment & Medical Supplies |
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| Location | 810 E Division St, Coal City, Illinois |
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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: 1104943786
- Provider Enumeration Date: 03/26/2007
- Last Update Date: 06/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 3779570296
- Enrollment ID: O20040427001401
Medical Identifiers
Medical identifiers for Fox River Foot & Ankle Center Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104943786 | NPI | - | NPPES |
| K04515 | Other | IL | MEDICARE MEMBER # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0131X | Podiatrist - Foot Surgery | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 016004700 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Fox River Foot & Ankle Center Pc acts as a billing entity for following providers:
| Provider Name | Howard C Fox |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1326031873
PECOS PAC ID: 8022005545
Enrollment ID: I20040428000901 |
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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. Fox River Foot & Ankle Center Pc 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 |
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Fox River Foot & Ankle Center Pc
810 E Division St,
Coal City, IL 60416-1338
Ph: (815) 634-2324 | Fox River Foot & Ankle Center Pc
810 E Division St,
Coal City, IL 60416-1338
Ph: (815) 634-2324 |
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