| Space Coast Foot & Ankle Center | |
|
6550 N Wickham Rd Ste 4, Melbourne, FL 32940-2038 | |
| (321) 259-4268 | |
| Not Available |
| Full Name | Space Coast Foot & Ankle Center |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 6550 N Wickham Rd Ste 4, Melbourne, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841472479 | NPI | - | NPPES |
| 340376900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO3043 (Florida) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | John D Mackenney |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770531774 PECOS PAC ID: 6406849751 Enrollment ID: I20040407001371 |
| Mailing Address | Practice Location Address |
|---|---|
| Space Coast Foot & Ankle Center 6550 N Wickham Rd Ste 4, Melbourne, FL 32940-2038 Ph: (321) 259-4268 | Space Coast Foot & Ankle Center 6550 N Wickham Rd Ste 4, Melbourne, FL 32940-2038 Ph: (321) 259-4268 |
Gaithe Stcyr, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 | |
Brian J Mallette Dpm Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 200 S Harbor City Blvd, Suite302, Melbourne, FL 32901 Phone: 321-728-0117 Fax: 321-728-0151 | |
Foot And Ankle Associates Of Brevard Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4020 Fair Point Ln, Melbourne, FL 32934 Phone: 321-960-9040 | |
Claudia R Mallette Dpm Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1555 W Nasa Blvd, Melbourne, FL 32901 Phone: 321-728-0117 Fax: 321-728-0151 | |
Melbourne Podiatry Associates Podiatrist Medicare: Medicare Enrolled Practice Location: 1515 Dr Martin Luther King Jr Blvd, Melbourne, FL 32901 Phone: 321-723-3500 Fax: 321-723-1945 | |
Dr. Thomas Charles Wilson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1515 Dr Martin Luther King Jr Blvd, Melbourne, FL 32901 Phone: 321-723-3500 Fax: 321-723-1945 | |
Melbourne Podiatry Associates Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1310 W Eau Gallie Blvd, Suite E, Melbourne, FL 32935 Phone: 321-255-3338 Fax: 321-253-9643 |