Portage Podiatry is a
Podiatrist based in Portage, Pennsylvania. Portage Podiatry is licensed to practice in Pennsylvania (license number SC004705L) and their current practice location is
713 Mountain Ave Ste 1, Portage, Pennsylvania. It can be reached at their office (for appointments etc.) via phone at
(814) 736-5000.
NPI number for Portage Podiatry is 1659559599 and their current mailing address is 713 Mountain Ave Ste 1, Portage, Pennsylvania. Portage Podiatry
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1659559599.
Healthcare Provider's Profile
| Full Name | Portage Podiatry |
|---|
| Type | Facility |
|---|
| Speciality | Podiatrist |
|---|
| Location | 713 Mountain Ave Ste 1, Portage, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659559599
- Provider Enumeration Date: 02/01/2008
- Last Update Date: 07/06/2026
Medical Identifiers
Medical identifiers for Portage Podiatry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1659559599 | NPI | - | NPPES |
| 043195 | Other | PA | UMWA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 213E00000X | Podiatrist | SC004705L (Pennsylvania) | Primary |
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. Portage Podiatry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Portage Podiatry 713 Mountain Ave Ste 1, Portage, PA 15946-1756 Ph: (814) 736-5000 | Portage Podiatry 713 Mountain Ave Ste 1, Portage, PA 15946-1756 Ph: (814) 736-5000 |
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