| Northeast Foot & Ankle Associates, Llc. | |
|
532 Main St, Suite #2, Moosic, PA 18507-1074 | |
| (570) 457-6540 | |
| (570) 457-6541 |
| Full Name | Northeast Foot & Ankle Associates, Llc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 532 Main St, Moosic, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275854010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC004803L (Pennsylvania) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | SC004803-L (Pennsylvania) | Secondary |
| Provider Name | Justine M Metcho |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366474843 PECOS PAC ID: 9133026529 Enrollment ID: I20031215000479 |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Foot & Ankle Associates, Llc. 532 Main St, Suite #2, Moosic, PA 18507-1074 Ph: (570) 457-6540 | Northeast Foot & Ankle Associates, Llc. 532 Main St, Suite #2, Moosic, PA 18507-1074 Ph: (570) 457-6540 |
Ms. Justine M Metcho, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 532 Main St, Suite #2, Moosic, PA 18507 Phone: 570-457-6540 Fax: 570-457-6541 | |
Golden Care Foot And Ankle Surgery Podiatrist Medicare: Medicare Enrolled Practice Location: 532 Main St, Suite # 2, Moosic, PA 18507 Phone: 570-457-6540 Fax: 570-457-6541 |