| Pacific Podiatry Group, Ps | |
|
7808 Pacific Ave, Suite 1, Tacoma, WA 98408-7039 | |
| (253) 473-5566 | |
| (253) 473-6436 |
| Full Name | Pacific Podiatry Group, Ps |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 7808 Pacific Ave, Tacoma, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235165549 | NPI | - | NPPES |
| 64061 | Other | WA | LABOR & INDUSTRIES |
| 7051519 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 600637306 (Washington) | Primary |
| Provider Name | Nicholas S Heath |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144254640 PECOS PAC ID: 7517945017 Enrollment ID: I20040712000278 |
| Provider Name | Gene C Knutson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487688982 PECOS PAC ID: 3274511787 Enrollment ID: I20040712000333 |
| Provider Name | Rebecca E Brickman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407886617 PECOS PAC ID: 0840233151 Enrollment ID: I20050608000072 |
| Provider Name | Kyle Daniel Kenoyer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679926398 PECOS PAC ID: 9739413360 Enrollment ID: I20190701002110 |
| Provider Name | Lalita P. Turaga |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700266509 PECOS PAC ID: 3173828795 Enrollment ID: I20191116000337 |
| Provider Name | Kyle Matthew Piner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326530924 PECOS PAC ID: 1052650546 Enrollment ID: I20210831002927 |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Podiatry Group, Ps 7808 Pacific Ave, Suite 1, Tacoma, WA 98408-7039 Ph: (253) 473-5566 | Pacific Podiatry Group, Ps 7808 Pacific Ave, Suite 1, Tacoma, WA 98408-7039 Ph: (253) 473-5566 |
Robert Mcbride, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 4050 S 19th St Ste 202, Tacoma, WA 98405 Phone: 253-565-3355 Fax: 253-564-6744 | |
Philip R. Yearian Dpm Ps Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2420 S Union Ave, Ste 300, Tacoma, WA 98405 Phone: 253-756-0888 Fax: 253-752-1704 | |
Mr. Randolph Charles Fish, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 915 So. 76th St., Tacoma, WA 98408 Phone: 253-584-9530 Fax: 360-427-2769 | |
Eric Edward Leonheart, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 9040 Jackson Avenue Madigan Army Medical Center, Tacoma, WA 98431 Phone: 253-968-1110 | |
Mario Natale Ponticello, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-3505 | |
Dr. Nicholas S Heath, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7800 Pacific Ave, Suite 1, Tacoma, WA 98408 Phone: 253-473-5566 Fax: 253-882-0988 | |
Tacoma Foot And Ankle Clinic Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 1206 S 11th St, Suite 2, Tacoma, WA 98405 Phone: 253-272-0606 Fax: 253-272-2118 |