Premier Lower Limb Clinic Corp is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Roseland, New Jersey. Their current practice location is
101 Eisenhower Pkwy Ste 300, Roseland, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(201) 707-1378.
Premier Lower Limb Clinic Corp is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Premier Lower Limb Clinic Corp
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 1598540155.
Healthcare Provider's Profile
Full Name | Premier Lower Limb Clinic Corp |
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Type | Facility |
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Speciality | Podiatrist - Foot & Ankle Surgery |
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Location | 101 Eisenhower Pkwy Ste 300, Roseland, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598540155
- Provider Enumeration Date: 08/30/2023
- Last Update Date: 09/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759736135
- Enrollment ID: O20231005001679
Medical Identifiers
Medical identifiers for Premier Lower Limb Clinic Corp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598540155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Premier Lower Limb Clinic Corp acts as a billing entity for following providers:
Provider Name | Ibrahim Elkattawy |
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Provider Type | Practitioner - Podiatry |
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Provider Identifiers | NPI Number: 1861980138 PECOS PAC ID: 4880939545 Enrollment ID: I20210708002532 |
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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. Premier Lower Limb Clinic Corp 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 |
Premier Lower Limb Clinic Corp 645 Newark Ave # O8242, Jersey City, NJ 07306-2303 Ph: (201) 707-1378 | Premier Lower Limb Clinic Corp 101 Eisenhower Pkwy Ste 300, Roseland, NJ 07068-1054 Ph: (201) 707-1378 |
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