| Philip B Sextro, DPM | |
|
620 Diers Ave, Grand Island, NE 68802-5020 | |
| (308) 381-0404 | |
| (308) 381-0408 |
| Full Name | Philip B Sextro |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 620 Diers Ave, Grand Island, Nebraska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851394738 | NPI | - | NPPES |
| 02549 | Other | NE | BLUE CROSS BLUE SHIELD |
| 0152470001 | Other | NE | DMERC CIGNA |
| 47062497913 | Medicaid | NE | |
| 280175 | Other | NE | MEDICARE |
| 470624949 | Other | NE | CHAMPUS |
| 480021804 | Other | NE | RAILROAD MEDICARE |
| 0152470001 | Other | NE | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 135 (Nebraska) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 213E00000X (Nebraska) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Philip B Sextro, DPM 620 Diers Ave, Po Box 5020, Grand Island, NE 68802-5020 Ph: (308) 381-0404 | Philip B Sextro, DPM 620 Diers Ave, Grand Island, NE 68802-5020 Ph: (308) 381-0404 |
Dr. Jonathan B Wilson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 620 N Diers Ave Ste 100, Grand Island, NE 68803 Phone: 308-381-0404 | |
James E Lewandowski, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 820 W Division St, Grand Island, NE 68801 Phone: 308-381-7262 Fax: 308-381-4672 | |
Dr. Dusty Lynn Broxterman, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 620 N Diers Ave Ste 100, Grand Island, NE 68803 Phone: 308-381-0404 | |
Dr. Corey S. Blackburn, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1932 Aspen Cir Ste A, Grand Island, NE 68803 Phone: 308-646-0077 Fax: 308-646-0317 | |
Kevin J Larsen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 620 N Diers Ave Ste 100, Grand Island, NE 68803 Phone: 308-381-0404 Fax: 308-381-0408 | |
James E Lewandowski Dpm Podiatrist Medicare: Medicare Enrolled Practice Location: 820 W Division St, Grand Island, NE 68801 Phone: 308-381-7262 Fax: 308-381-4672 |