| Richard Felix Wittock Iii, DPM | |
|
1011 Bowles Avenue, Suite 123, Fenton, MO 63026 | |
| (636) 717-1100 | |
| (636) 717-1113 |
| Full Name | Richard Felix Wittock Iii |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 27 Years |
| Location | 1011 Bowles Avenue, Fenton, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215943105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 2002003866 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm St Clare Health Center | Fenton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcpherson Medical And Diagnostic Llc | 5698773539 | 62 |
| Provider Name | Mcpherson Medical & Diagnostic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003407883 PECOS PAC ID: 5698773539 Enrollment ID: O20061201000167 |
| Provider Name | Ankle And Foot Institute Of Missouri Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831335819 PECOS PAC ID: 1557410776 Enrollment ID: O20090519000234 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Felix Wittock Iii, DPM 1011 Bowles Avenue, Suite 123, Fenton, MO 63026 Ph: (636) 717-1100 | Richard Felix Wittock Iii, DPM 1011 Bowles Avenue, Suite 123, Fenton, MO 63026 Ph: (636) 717-1100 |
Center For Advanced Foot & Ankle Surgery, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1011 Bowles Ave, Suite 123, Fenton, MO 63026 Phone: 314-991-3668 Fax: 314-991-3665 | |
Metro Foot Specialists, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1747 Smizer Station Rd, Suite 3a, Fenton, MO 63026 Phone: 636-938-5006 | |
Ankle And Foot Institute Of Missouri P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 1011 Bowles Avenue, Suite 123, Fenton, MO 63026 Phone: 636-717-1100 Fax: 636-717-1113 |