| Mypafootdoctor | |
|
1055 Baltimore St Ste 1, Hanover, PA 17331-4400 | |
| (717) 524-1034 | |
| (833) 524-1034 |
| Full Name | Mypafootdoctor |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1055 Baltimore St Ste 1, Hanover, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538514492 | NPI | - | NPPES |
| 103298961 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | SC006213 (Pennsylvania) | Primary |
| 261QP1100X | Clinic/center - Podiatric | (* (Not Available)) | Secondary |
| Provider Name | Jim Maxka |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932427762 PECOS PAC ID: 0840593265 Enrollment ID: I20160223001671 |
| Mailing Address | Practice Location Address |
|---|---|
| Mypafootdoctor 1055 Baltimore St Ste 1, Hanover, PA 17331-4400 Ph: (717) 524-1034 | Mypafootdoctor 1055 Baltimore St Ste 1, Hanover, PA 17331-4400 Ph: (717) 524-1034 |
Sarah Ann Banks, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 250 Fame Ave Ste 220, Hanover, PA 17331 Phone: 717-632-5264 Fax: 717-632-1165 | |
Todd A Zeno, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 470 Eisenhower Dr, Hanover, PA 17331 Phone: 717-633-0031 Fax: 717-630-1081 | |
Martin Podiatry Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1010 Eichelberger St, Suite 4, Hanover, PA 17331 Phone: 717-757-3537 Fax: 717-718-8665 | |
Natasha R Hewitt, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 250 Fame Ave Ste 220, Hanover, PA 17331 Phone: 717-632-5264 Fax: 717-632-1165 | |
Sarah A. Banks, Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 250 Fame Ave, Suite 220, Hanover, PA 17331 Phone: 717-632-5264 Fax: 717-632-1165 | |
Sarah A Banks Dpm Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 250 Fame Ave Ste 220, Hanover, PA 17331 Phone: 717-632-5264 Fax: 717-632-1165 | |
Hillside Foot And Ankle Associates Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 250 Fame Ave Ste 220, Hanover, PA 17331 Phone: 717-632-5264 Fax: 717-632-5264 |