| Larry W Menacker, DPM | |
|
2416 E Allegheny Ave, Philadelphia, PA 19134-4403 | |
| (215) 843-2330 | |
| (215) 848-6760 |
| Full Name | Larry W Menacker |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 2416 E Allegheny Ave, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376509844 | NPI | - | NPPES |
| 0016086790004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | SC001941L (Pennsylvania) | Primary |
| 213E00000X | Podiatrist | MD1184 (New Jersey) | Secondary |
| Provider Name | Port Richmond Family Foot Care,pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457381634 PECOS PAC ID: 9638083959 Enrollment ID: O20031204000358 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry W Menacker, DPM 2416 E Allegheny Ave, Philadelphia, PA 19134-4403 Ph: (215) 843-2330 | Larry W Menacker, DPM 2416 E Allegheny Ave, Philadelphia, PA 19134-4403 Ph: (215) 843-2330 |
Regina Snow, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-487-4284 | |
Josephine Depalma Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2706 N 5th St, Philadelphia, PA 19133 Phone: 215-425-5060 Fax: 215-483-9679 | |
Ms. Jennifer Chang - Ching Van, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 148 N 8th St, Philadelphia, PA 19107 Phone: 215-777-5808 Fax: 215-777-5825 | |
Dr. Shaun M Latshaw, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8835 Germantown Ave, Philadelphia, PA 19118 Phone: 610-428-2427 | |
Dr. Noah Jan Goldman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7919 Verree Rd, Philadelphia, PA 19111 Phone: 215-742-8383 | |
Dr. Victoria M. Adeniran, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 5800 Ridge Avenue, Philadelphia, PA 19128 Phone: 215-483-9900 | |
Debbie Park, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-483-9900 |