| Loganville Foot And Ankle Medicine Llc | |
|
135 Lee Byrd Rd, Loganville, GA 30052-2310 | |
| (678) 639-4209 | |
| (678) 639-4210 |
| Full Name | Loganville Foot And Ankle Medicine Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 135 Lee Byrd Rd, Loganville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588821318 | NPI | - | NPPES |
| 829746724O | Medicaid | GA | |
| 7595720 | Other | GA | AETNA |
| 581994261 | Other | GA | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD001006 (Georgia) | Primary |
| Provider Name | Jayson Phelps |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851362644 PECOS PAC ID: 8628002417 Enrollment ID: I20050921000565 |
| Mailing Address | Practice Location Address |
|---|---|
| Loganville Foot And Ankle Medicine Llc 135 Lee Byrd Rd, Loganville, GA 30052-2310 Ph: (678) 639-4209 | Loganville Foot And Ankle Medicine Llc 135 Lee Byrd Rd, Loganville, GA 30052-2310 Ph: (678) 639-4209 |
Loganville Foot And Ankle Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3529 Highway 81, Loganville, GA 30052 Phone: 678-639-4209 Fax: 678-639-4210 | |
Jayson B. Phelps, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 135 Lee Byrd Rd, Loganville, GA 30052 Phone: 678-639-4209 Fax: 678-639-4210 |