Southern Maryland Foot And Ankle Llc - Medicare Podiatrist in Waldorf, MD

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Southern Maryland Foot And Ankle Llc is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Waldorf, Maryland. Their current practice location is 12070 Old Line Ctr Ste 110, Waldorf, Maryland. You can reach out to their office (for appointments etc.) via phone at (301) 843-9581.

Southern Maryland Foot And Ankle Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Southern Maryland Foot And Ankle Llc 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 1285809715.

Contact Information

Southern Maryland Foot And Ankle Llc
12070 Old Line Ctr Ste 110,
Waldorf, MD 20602-2503
(301) 843-9581
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSouthern Maryland Foot And Ankle Llc
TypeFacility
SpecialityPodiatrist - Foot & Ankle Surgery
Location12070 Old Line Ctr Ste 110, Waldorf, Maryland
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285809715
  • Provider Enumeration Date: 04/25/2008
  • Last Update Date: 11/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9830198928
  • Enrollment ID: O20061219000430

Medical Identifiers

Medical identifiers for Southern Maryland Foot And Ankle Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285809715NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery (* (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. Southern Maryland Foot And Ankle Llc acts as a billing entity for following providers:
Provider NameJashan A Valjee
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1437387230
PECOS PAC ID: 5092963413
Enrollment ID: I20120910000510
Provider NameJustin G Pointer
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1659636082
PECOS PAC ID: 2567752306
Enrollment ID: I20160607000278
Provider NameSeth A Weaver
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1215914031
PECOS PAC ID: 1951372812
Enrollment ID: I20170602000981
Provider NameTomika Coleman
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1013272699
PECOS PAC ID: 8123349115
Enrollment ID: I20210409001046
Provider NameTrevor Klinkner
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1366949885
PECOS PAC ID: 4688074552
Enrollment ID: I20210615000564
Provider NameAnthony Camarda
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1316436561
PECOS PAC ID: 8224385372
Enrollment ID: I20210715003708
Provider NameNishani Kuruppu
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1225650781
PECOS PAC ID: 9032578745
Enrollment ID: I20230628003515
Provider NameTuhin Mukherjee
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1568084804
PECOS PAC ID: 8426414137
Enrollment ID: I20240626000174
Provider NameDavid Goodman
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1700284221
PECOS PAC ID: 6901160274
Enrollment ID: I20240627002294

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. Southern Maryland Foot And Ankle Llc 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 AddressPractice Location Address
Southern Maryland Foot And Ankle Llc
12070 Old Line Ctr Ste 110,
Waldorf, MD 20602-2503

Ph: (301) 843-9581		Southern Maryland Foot And Ankle Llc
12070 Old Line Ctr Ste 110,
Waldorf, MD 20602-2503

Ph: (301) 843-9581

Reviews and Comments


Podiatrist in Waldorf, MD

Dr. Bruce Allan Wenzel, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 3261 Old Washington Rd, Suite 1010, Waldorf, MD 20602
Phone: 301-645-0366    Fax: 301-843-4773
Michael Edward Pearlman, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 12103 Old Line Ctr, Waldorf, MD 20602
Phone: 301-843-8058    Fax: 301-932-8621
Michael E Pearlman D.p.m., P.a.
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 12103 Old Line Ctr, Waldorf, MD 20602
Phone: 301-843-8058    Fax: 301-932-8621
Nishani Kuruppu, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 12070 Old Line Ctr Ste 110, Waldorf, MD 20602
Phone: 301-843-9581    
Ccrab Associates, Llc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 3261 Old Washington Rd, Suite 1010, Waldorf, MD 20602
Phone: 301-645-0366    Fax: 301-843-4773
Free State Podiatry
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 50 Post Office Rd Ste 304, Waldorf, MD 20602
Phone: 202-258-4692    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.