Providence Podiatry Care, Inc - Medicare Podiatrist in San Bernardino, CA

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Providence Podiatry Care, Inc is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in San Bernardino, California. Their current practice location is 473 E Carnegie Drive, Suite 200, San Bernardino, California. You can reach out to their office (for appointments etc.) via phone at (909) 244-7430.

Providence Podiatry Care, Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Providence Podiatry Care, Inc 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 1376202986.

Contact Information

Providence Podiatry Care, Inc
473 E Carnegie Drive, Suite 200,
San Bernardino, CA 92408
(909) 244-7430
(909) 495-1380

Map and Direction




Healthcare Provider's Profile

Full NameProvidence Podiatry Care, Inc
TypeFacility
SpecialityPodiatrist - Foot & Ankle Surgery
Location473 E Carnegie Drive, San Bernardino, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376202986
  • Provider Enumeration Date: 12/10/2021
  • Last Update Date: 06/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6507256708
  • Enrollment ID: O20211217002222

Medical Identifiers

Medical identifiers for Providence Podiatry Care, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376202986NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - 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. Providence Podiatry Care, Inc acts as a billing entity for following providers:
Provider NameTodd M Schafer
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1831127349
PECOS PAC ID: 9133117468
Enrollment ID: I20040504001531
Provider NameMichael L Goddard
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1275567141
PECOS PAC ID: 8921058322
Enrollment ID: I20050124000851
Provider NamePete Carrasco
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1073573127
PECOS PAC ID: 7315990553
Enrollment ID: I20050228000518
Provider NamePratibha Kayastha
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942601281
PECOS PAC ID: 2769704527
Enrollment ID: I20141205000012
Provider NamePatricia Lutfy
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1497024061
PECOS PAC ID: 1355656943
Enrollment ID: I20150811004817
Provider NameIvan Brando Teves Aguilera
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1861834178
PECOS PAC ID: 0840584587
Enrollment ID: I20160803002024
Provider NameMichael Shen
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1366806291
PECOS PAC ID: 7214260801
Enrollment ID: I20190613002105
Provider NameMaria Elena Almirante
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1700230364
PECOS PAC ID: 5496087785
Enrollment ID: I20191106002198
Provider NameBeverly A Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477551919
PECOS PAC ID: 5991836264
Enrollment ID: I20200511001827
Provider NameJooyoung Han
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1023540325
PECOS PAC ID: 3779820873
Enrollment ID: I20210205002430
Provider NameSandra Haider
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1992369060
PECOS PAC ID: 3870822760
Enrollment ID: I20220831001915

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. Providence Podiatry Care, Inc 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 AddressPractice Location Address
Providence Podiatry Care, Inc
473 E Carnegie Drive, Suite 200,
San Bernardino, CA 92408

Ph: (909) 244-7430		Providence Podiatry Care, Inc
473 E Carnegie Drive, Suite 200,
San Bernardino, CA 92408

Ph: (909) 244-7430

Reviews and Comments


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Dr. Clayton Gary Johnsen, D.P.M.
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Stepwell Podiatry Group Inc
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Practice Location: 473 E Carnegie Drive, Suite 200, San Bernardino, CA 92408
Phone: 909-244-7430    Fax: 909-495-1380
Dr. Kevin Dean O'reilly, D.P.M.
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Medicare: Accepting Medicare Assignments
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Phone: 909-885-0652    Fax: 909-885-5022
Dr. Sang Dae Lee, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 2095 N Waterman Ave, San Bernardino, CA 92404
Phone: 909-882-3800    Fax: 909-882-3380

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.