| Nature Coast Foot And Ankle Center Llc | |
|
6254 W Corporate Oaks Dr, Crystal River, FL 34429-8723 | |
| (352) 228-4975 | |
| (352) 228-4977 |
| Full Name | Nature Coast Foot And Ankle Center Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 6254 W Corporate Oaks Dr, Crystal River, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396185526 | NPI | - | NPPES |
| 004KU | Other | FL | FLORIDA BLUE |
| 6980350001 | Other | FL | DMEPOS |
| 009044800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Kenneth P Pritchyk |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811963473 PECOS PAC ID: 2365626298 Enrollment ID: I20110418000419 |
| Mailing Address | Practice Location Address |
|---|---|
| Nature Coast Foot And Ankle Center Llc Po Box 2319, Crystal River, FL 34423-2319 Ph: (352) 228-4975 | Nature Coast Foot And Ankle Center Llc 6254 W Corporate Oaks Dr, Crystal River, FL 34429-8723 Ph: (352) 228-4975 |
Dr. Robert S. Wane, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9030 W Fort Island Trl, Suite #7, Crystal River, FL 34429 Phone: 352-795-2142 Fax: 352-795-3044 | |
Robert S Wane Dpm Pa Podiatrist Medicare: Medicare Enrolled Practice Location: 9030 West Fort Island Trail, Suite 7, Crystal River, FL 34429 Phone: 352-795-2142 Fax: 352-795-3044 |