Renew Foot & Ankle Llc is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Grand Rapids, Minnesota. Their current practice location is
1920 S Pokegama Ave Ste 103, Grand Rapids, Minnesota. You can reach out to their office (for appointments etc.) via phone at
(218) 322-6085.
Renew Foot & Ankle Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Renew Foot & Ankle Llc
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 1821633967.
Healthcare Provider's Profile
| Full Name | Renew Foot & Ankle Llc |
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| Type | Facility |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 1920 S Pokegama Ave Ste 103, Grand Rapids, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821633967
- Provider Enumeration Date: 11/13/2019
- Last Update Date: 09/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 7810320314
- Enrollment ID: O20191213000169
Medical Identifiers
Medical identifiers for Renew Foot & Ankle Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821633967 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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.
Renew Foot & Ankle Llc acts as a billing entity for following providers:
| Provider Name | Eric K Gilbertson |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1679591226
PECOS PAC ID: 5496852410
Enrollment ID: I20070525000112 |
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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. Renew Foot & Ankle Llc 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 |
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Renew Foot & Ankle Llc
8977 Cove Dr Ne,
Bemidji, MN 56601-6427
Ph: () - | Renew Foot & Ankle Llc
1920 S Pokegama Ave Ste 103,
Grand Rapids, MN 55744-4289
Ph: (218) 322-6085 |
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