| Mickenbergs Ambulatory Foot Care Pa | |
|
8094 Edwin Raynor Blvd, Ste C, Pasadena, MD 21122-6834 | |
| (410) 255-0040 | |
| (410) 360-4955 |
| Full Name | Mickenbergs Ambulatory Foot Care Pa |
|---|---|
| Type | Facility |
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 8094 Edwin Raynor Blvd, Pasadena, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386822104 | NPI | - | NPPES |
| 1338463 | Other | CIGNA | |
| 1386822104 | Other | COVENTRY | |
| 1386822104 | Other | MAMSI | |
| 1386822104 | Other | ALLIANCE | |
| T276 | Other | MD | CAREFIRST |
| 1386822104 | Other | FIRST HEALTH | |
| 1386822104 | Other | FIDELITY | |
| 1386822104 | Other | EHP | |
| 217484 | Other | MDIPA/OPTIMUM CHOICE | |
| 062308307 | Medicaid | MD | |
| 1386822104 | Other | EMPLOYER HEALTH INSURANCE | |
| 480012800 | Other | RAILROAD MEDICARE | |
| B765 001 | Other | CAREFIRST FEDERAL EMPLOYEE PROGRAM | |
| 1386822104 | Other | TRICARE | |
| 1386822104 | Other | UNITED HEALTHCARE | |
| T765 | Other | MD | BLUE CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 01053 (Maryland) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 01053 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mickenbergs Ambulatory Foot Care Pa 8094 Edwin Raynor Blvd, Ste C, Pasadena, MD 21122-6834 Ph: (410) 255-0040 | Mickenbergs Ambulatory Foot Care Pa 8094 Edwin Raynor Blvd, Ste C, Pasadena, MD 21122-6834 Ph: (410) 255-0040 |