| Southern Delaware Foot & Ankle Llc | |
|
543 N Shipley St, Suite C, Seaford, DE 19973-2339 | |
| (302) 629-3000 | |
| (302) 629-3080 |
| Full Name | Southern Delaware Foot & Ankle Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 543 N Shipley St, Seaford, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548301005 | NPI | - | NPPES |
| 8699345001 | Other | DE | CIGNA |
| 448142 | Other | DE | OPTIMUM CHOICE |
| P00062710 | Other | DE | RAILROAD MEDICARE |
| 2220599000 | Other | DE | AMERIHEALTH |
| 3314440 | Other | DE | AETNA - PPO |
| 1000025919 | Medicaid | DE | |
| 2161 | Other | DE | COVENTRY |
| 3316680 | Other | DE | AETNA - HMO |
| 510401832 | Other | DE | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E1-0000121 (Delaware) | Primary |
| Provider Name | Bradley T Lemon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366448730 PECOS PAC ID: 2961492624 Enrollment ID: I20040515000258 |
| Provider Name | Allen A Mirzaei |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164859336 PECOS PAC ID: 4587951249 Enrollment ID: I20160922002620 |
| Provider Name | Christopher M Heisey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497126981 PECOS PAC ID: 9931455276 Enrollment ID: I20180628003257 |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Delaware Foot & Ankle Llc Po Box 772, Seaford, DE 19973-0772 Ph: (302) 629-3613 | Southern Delaware Foot & Ankle Llc 543 N Shipley St, Suite C, Seaford, DE 19973-2339 Ph: (302) 629-3000 |
Dr. Deepa Nalini Diaram, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 916 Middleford Rd, Seaford, DE 19973 Phone: 302-629-3175 Fax: 954-577-4175 | |
Allen Mirzaei, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 543 N Shipley St, Suite C, Seaford, DE 19973 Phone: 302-629-3000 Fax: 302-629-3080 | |
Joseph Walter Brown, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1501 Middleford Rd, Seaford, DE 19973 Phone: 302-378-1022 Fax: 302-378-9303 | |
Bradley T Lemon, D.P.M, F.A.C.F.S Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 543 N Shipley St, Ste C, Seaford, DE 19973 Phone: 302-629-3000 Fax: 302-629-3080 | |
Dr. Christopher M. Heisey, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 543 N Shipley St Ste C, Seaford, DE 19973 Phone: 302-629-3000 Fax: 302-629-3080 | |
Nanticoke Podiatry Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8857 Riverside Dr, Seaford, DE 19973 Phone: 302-628-7880 Fax: 302-628-3791 |