| Mousam Valley Podiatry, P.a. | |
|
21 Whitehall Rd, Suite #302, Rochester, NH 03867-3236 | |
| (603) 994-7633 | |
| (603) 994-7648 |
| Full Name | Mousam Valley Podiatry, P.a. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 21 Whitehall Rd, Rochester, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942309737 | NPI | - | NPPES |
| 1942309737 | Other | ME | GROUP NPI # |
| 1760487441 | Other | ME | INDIVIDUAL NPI # |
| 037709 | Other | ME | ANTHEM |
| 1942309737 | Other | NH | NPI GROUP |
| 195460000 | Medicaid | ME | |
| 1760487441 | Other | NH | INDIVIDUAL NPI |
| 3089587 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 0193 (New Hampshire) | Primary |
| Provider Name | Scott W Gerry |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760487441 PECOS PAC ID: 2264453869 Enrollment ID: I20141120001485 |
| Mailing Address | Practice Location Address |
|---|---|
| Mousam Valley Podiatry, P.a. Po Box 736, Springvale, ME 04083-0736 Ph: (603) 994-7633 | Mousam Valley Podiatry, P.a. 21 Whitehall Rd, Suite #302, Rochester, NH 03867-3236 Ph: (603) 994-7633 |
Billie A. Bondar, Dpm Podiatrist Medicare: Medicare Enrolled Practice Location: 60 Rochester Hill Rd, Ste 3, Rochester, NH 03867 Phone: 603-332-1026 Fax: 603-332-7190 | |
Billie Bondar, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 60 Rochester Hill Rd, Ste 3, Rochester, NH 03867 Phone: 603-332-1026 Fax: 603-332-7190 | |
Scott W Gerry, D. P. M. Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 21 Whitehall Rd Ste 302, Rochester, NH 03867 Phone: 603-994-7633 Fax: 603-994-7648 |