| Scott E Adams Dpm Inc | |
|
310 S Halcyon Rd, Suite 101, Arroyo Grande, CA 93420-3872 | |
| (805) 481-0881 | |
| (805) 481-0835 |
| Full Name | Scott E Adams Dpm Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 310 S Halcyon Rd, Arroyo Grande, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487648697 | NPI | - | NPPES |
| DG7094 | Other | CA | RAILRIOAD MEDICARE |
| ZZZ50260Y | Other | CA | BLUE SHIELD |
| GRE001760 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 40580 (California) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0600250001 (California) | Secondary |
| Provider Name | Scott E Adams |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609860709 PECOS PAC ID: 0446218317 Enrollment ID: I20041222000739 |
| Provider Name | Nathan B Ecklund |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831225549 PECOS PAC ID: 8426141631 Enrollment ID: I20070904000718 |
| Provider Name | Laura L Walker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437561537 PECOS PAC ID: 4082987748 Enrollment ID: I20190613001075 |
| Provider Name | Nickolas Peter Grimes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013594308 PECOS PAC ID: 6608310305 Enrollment ID: I20240705001995 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott E Adams Dpm Inc 310 S Halcyon Rd, Suite 101, Arroyo Grande, CA 93420-3872 Ph: (805) 481-0881 | Scott E Adams Dpm Inc 310 S Halcyon Rd, Suite 101, Arroyo Grande, CA 93420-3872 Ph: (805) 481-0881 |
Nickolas Peter Grimes, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 310 S Halcyon Rd, Arroyo Grande, CA 93420 Phone: 510-917-2334 | |
Scott E Adams, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 310 S Halcyon Rd, Suite 101, Arroyo Grande, CA 93420 Phone: 805-481-0881 Fax: 805-481-0835 | |
Nickolas Grimes, Dpm, Professional Corporation Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 310 S Halcyon Rd Ste 101, Arroyo Grande, CA 93420 Phone: 805-481-0881 | |
Nathan B Ecklund, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 310 S Halcyon Rd Ste 101, Arroyo Grande, CA 93420 Phone: 805-481-0881 Fax: 805-481-0835 |