Suppan Foot And Ankle Clinic Inc is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Orrville, Ohio. Their current practice location is
1710 Paradise Rd, Orrville, Ohio. You can reach out to their office (for appointments etc.) via phone at
(330) 682-6070.
Suppan Foot And Ankle Clinic Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Suppan Foot And Ankle Clinic Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1669428991.
Healthcare Provider's Profile
| Full Name | Suppan Foot And Ankle Clinic Inc |
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| Type | Facility |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 1710 Paradise Rd, Orrville, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1669428991
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 08/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 6305828153
- Enrollment ID: O20040604000265
Medical Identifiers
Medical identifiers for Suppan Foot And Ankle Clinic Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669428991 | NPI | - | NPPES |
| 0512396 | Medicaid | OH | |
| 1669428991 | Other | OH | NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Suppan Foot And Ankle Clinic Inc acts as a billing entity for following providers:
| Provider Name | Jason Norbert Suppan |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1528059391
PECOS PAC ID: 0446232201
Enrollment ID: I20100602000211 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Suppan Foot And Ankle Clinic Inc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Suppan Foot And Ankle Clinic Inc
6200 Pleasant Ave Ste 3,
Fairfield, OH 45014-4671
Ph: (330) 682-6070 | Suppan Foot And Ankle Clinic Inc
1710 Paradise Rd,
Orrville, OH 44667-9418
Ph: (330) 682-6070 |
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