| Grand Lake Podiatry Inc | |
|
3772 Us Rt 68 S, Bellefontaine, OH 43311-3311 | |
| (937) 599-3668 | |
| (937) 599-4852 |
| Full Name | Grand Lake Podiatry Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 3772 Us Rt 68 S, Bellefontaine, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184896383 | NPI | - | NPPES |
| 2544858 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 36 002772 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Lake Podiatry Inc 1222 Irmscher Blvd, Celina, OH 45822-8305 Ph: (419) 586-7874 | Grand Lake Podiatry Inc 3772 Us Rt 68 S, Bellefontaine, OH 43311-3311 Ph: (937) 599-3668 |
Richard Shramo, D.P.M Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 834 N Main St, Bellefontaine, OH 43311 Phone: 937-592-9545 Fax: 937-592-9790 | |
Richard F Jennings, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1400 S Main St, Bellefontaine, OH 43311 Phone: 937-599-3668 Fax: 937-599-4852 | |
Complete Foot And Ankle Specialists, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1400 S Main St, Bellefontaine, OH 43311 Phone: 937-599-3668 Fax: 937-599-4852 | |
Gentle Footcare Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 3722 Us Highway 68 S, Bellefontaine, OH 43311 Phone: 937-599-2600 Fax: 937-599-2602 | |
Eric Christopher Anderson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1134 N Main St, Suite 3100, Bellefontaine, OH 43311 Phone: 937-599-1280 Fax: 937-651-6442 | |
Dr. Jennifer L. Regler, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3722 Us Highway 68 South, Bellefontaine, OH 43311 Phone: 937-599-2600 Fax: 937-599-2602 |