| Panhandle Podiatry Pllc | |
|
489 Mid Atlantic Parkway, Suite 1, Martinsburg, WV 25404-3594 | |
| (304) 267-3030 | |
| (304) 267-0660 |
| Full Name | Panhandle Podiatry Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Primary Podiatric Medicine |
| Location | 489 Mid Atlantic Parkway, Martinsburg, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841479813 | NPI | - | NPPES |
| 2102009000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | WV00358 (West Virginia) | Primary |
| Provider Name | John J Mollica |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972605079 PECOS PAC ID: 9335185057 Enrollment ID: I20120229000572 |
| Mailing Address | Practice Location Address |
|---|---|
| Panhandle Podiatry Pllc Po Box 1961, Martinsburg, WV 25402-1961 Ph: (304) 267-3030 | Panhandle Podiatry Pllc 489 Mid Atlantic Parkway, Suite 1, Martinsburg, WV 25404-3594 Ph: (304) 267-3030 |
Raleigh St Podiatry Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 411 S Raleigh St, Martinsburg, WV 25401 Phone: 304-264-9525 Fax: 304-264-9524 | |
Dr. Howard Gerald Malin, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 510 Butler Ave, Surgical Service, Martinsburg, WV 25401 Phone: 304-263-0811 Fax: 304-262-7446 | |
Loudoun Medical Group, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 107 Tavern Road, Martinsburg, WV 25401 Phone: 304-267-4282 | |
Dr. Steven L Goldman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 510 Butler Ave, Martinsburg, WV 25405 Phone: 304-263-0811 | |
Mark A Gardner, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 510 Butler Ave, Martinsburg, WV 25405 Phone: 304-263-0811 Fax: 800-817-3807 | |
Dr. Dale Steven Herman, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 311b Medical Ct, Martinsburg, WV 25401 Phone: 304-270-0767 Fax: 304-267-3966 | |
Loudoun Medical Group, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 107 Tavern Road, Martinsburg, WV 25401 Phone: 304-267-4282 Fax: 540-662-6903 |