Mark D Nellermoe Professional Service Corporation in University Place, WA

Mark D Nellermoe Professional Service Corporation is a medicare enrolled "Podiatrist" provider in University Place, Washington. Their current practice location is 3929 Bridgeport Way W Ste 308, University Place, Washington. You can reach out to their office (for appointments etc.) via phone at (253) 627-4181.

Mark D Nellermoe Professional Service Corporation is licensed to practice in Washington (license number PO00000507) and it also participates in the medicare program. Mark D Nellermoe Professional Service Corporation 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 1194145094.

Contact Information

	Mark D Nellermoe Professional Service Corporation
	3929 Bridgeport Way W Ste 308, University Place, WA 98466-4455
	(253) 627-4181
	(253) 272-5922

Map and Direction

Healthcare Provider's Profile

Full Name	Mark D Nellermoe Professional Service Corporation
Type	Facility
Speciality	Podiatrist
Location	3929 Bridgeport Way W Ste 308, University Place, Washington
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194145094
Provider Enumeration Date: 04/18/2014
Last Update Date: 06/11/2025

Medicare PECOS Information:

PECOS PAC ID: 9436377504
Enrollment ID: O20140903000307

Medical Identifiers

Medical identifiers for Mark D Nellermoe Professional Service Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194145094	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	PO00000507 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mark D Nellermoe Professional Service Corporation acts as a billing entity for following providers:

Provider Name	Mark D Nellermoe
Provider Type	Practitioner - Podiatry
Provider Identifiers	NPI Number: 1386733541 PECOS PAC ID: 3971795287 Enrollment ID: I20101005000882

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. Mark D Nellermoe Professional Service Corporation 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 Address	Practice Location Address
Mark D Nellermoe Professional Service Corporation 3929 Bridgeport Way W Ste 308, University Place, WA 98466-4455 Ph: (253) 627-4181	Mark D Nellermoe Professional Service Corporation 3929 Bridgeport Way W Ste 308, University Place, WA 98466-4455 Ph: (253) 627-4181

Reviews and Comments

Podiatrist in University Place, WA

Dr. Cynthia A Fenberg, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5225 Cirque Dr W, Suite 100, University Place, WA 98467 Phone: 253-474-4353 Fax: 253-474-5850
Ankle And Foot Clinic Of Lakewood, Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 5225 Cirque Dr W, Ste 100, University Place, WA 98467 Phone: 253-474-4353 Fax: 253-474-5850
Dr. Mark Dale Nellermoe, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3929 Bridgeport Way W Ste 308, University Place, WA 98466 Phone: 253-627-4181 Fax: 253-272-5922
Caleb Paul Thomas, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3929 Bridgeport Way W Ste 308, University Place, WA 98466 Phone: 253-272-2999 Fax: 253-272-4699
Dr. Thomas Matthew Burghardt, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3929 Bridgeport Way W Ste 308, University Place, WA 98466 Phone: 253-272-2999 Fax: 253-272-4699

Mark D Nellermoe Professional Service Corporation - Medicare Podiatrist in University Place, WA