| Lake Erie Podiatry, Llc | |
|
3910 Caughey Rd Ste 130, Erie, PA 16506 | |
| (814) 833-3668 | |
| (888) 329-6120 |
| Full Name | Lake Erie Podiatry, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 3910 Caughey Rd Ste 130, Erie, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922164409 | NPI | - | NPPES |
| 480035188 | Other | PA | MEDICARE RRB |
| 0019415170002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC004630L (Pennsylvania) | Primary |
| Provider Name | Michael A Ruiz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114901881 PECOS PAC ID: 0446387369 Enrollment ID: I20100427000051 |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Erie Podiatry, Llc 3910 Caughey Rd Ste 130, Erie, PA 16506-4097 Ph: (814) 833-3668 | Lake Erie Podiatry, Llc 3910 Caughey Rd Ste 130, Erie, PA 16506 Ph: (814) 833-3668 |
Joshua Britten, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3330 Peach St Ste 107, Erie, PA 16508 Phone: 814-877-3668 | |
Dr Stanley Bogusz, Dpm, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 938 Powell Ave, Erie, PA 16505 Phone: 814-833-8331 Fax: 814-833-8338 | |
Alexis Marie Anderson, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5515 Peach St, Erie, PA 16509 Phone: 814-864-4031 | |
Dr. Frederick J Tomassi, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3901 Liberty St, Erie, PA 16509 Phone: 814-864-2360 Fax: 814-864-2383 | |
Foot & Ankle Podiatry Center Of Nwpa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 120 E 2nd St, 4th Fl, Erie, PA 16507 Phone: 814-877-3668 Fax: 814-877-3624 | |
Mr. Joshua Blake Burchell, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5515 Peach St, Erie, PA 16509 Phone: 814-868-8217 | |
Saint Vincent Family Foot Care Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 311 W 24th St, Suite 303, Erie, PA 16502 Phone: 814-835-3751 Fax: 814-835-3755 |