Oliver Foot Clinic, Inc. is a medicare enrolled "Podiatrist - Foot Surgery" provider in Shelbyville, Tennessee. Their current practice location is
635 N. Main Street, Suite A, Shelbyville, Tennessee. You can reach out to their office (for appointments etc.) via phone at
(931) 684-8884.
Oliver Foot Clinic, Inc. is licensed to practice in Tennessee (license number DPM0000000524) and it also participates in the medicare program. Oliver Foot Clinic, Inc.
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 1437297595.
Healthcare Provider's Profile
| Full Name | Oliver Foot Clinic, Inc. |
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| Type | Facility |
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| Speciality | Podiatrist - Foot Surgery |
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| Location | 635 N. Main Street, Shelbyville, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1437297595
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 12/29/2009
Medicare PECOS Information:
- PECOS PAC ID: 0547396848
- Enrollment ID: O20100325000673
Medical Identifiers
Medical identifiers for Oliver Foot Clinic, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437297595 | NPI | - | NPPES |
| 3157415 | Other | TN | BLUE CROSS BLUE SHIELD |
| TN0101 | Other | TN | AMERICHOICE |
| 1454420 | Medicaid | TN | |
| 480025490 | Other | TN | MEDICARE RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0131X | Podiatrist - Foot Surgery | (* (Not Available)) | Secondary |
| 213ES0131X | Podiatrist - Foot Surgery | DPM0000000524 (Tennessee) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Oliver Foot Clinic, Inc. acts as a billing entity for following providers:
| Provider Name | Russell W Oliver |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1417095571
PECOS PAC ID: 1951437243
Enrollment ID: I20100325000626 |
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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. Oliver Foot Clinic, Inc. 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 |
|---|
Oliver Foot Clinic, Inc.
P.o. Box 766,
Shelbyville, TN 37162-0766
Ph: (931) 684-8884 | Oliver Foot Clinic, Inc.
635 N. Main Street, Suite A,
Shelbyville, TN 37160-3235
Ph: (931) 684-8884 |
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