| Tri-city Foot & Ankle Center, Llc | |
|
9613 Sandifur Pkwy Ste B, Pasco, WA 99301-8028 | |
| (509) 591-9454 | |
| (509) 578-1118 |
| Full Name | Tri-city Foot & Ankle Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 9613 Sandifur Pkwy Ste B, Pasco, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154747947 | NPI | - | NPPES |
| 2036331 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO60436994 (Washington) | Primary |
| Provider Name | Brent James Thielges |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043507973 PECOS PAC ID: 8729201413 Enrollment ID: I20140528000177 |
| Provider Name | Joshua Benjamin Grimm |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164719092 PECOS PAC ID: 6305061094 Enrollment ID: I20140714002201 |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-city Foot & Ankle Center, Llc 9613 Sandifur Pkwy Ste B, Pasco, WA 99301-8028 Ph: (509) 591-9454 | Tri-city Foot & Ankle Center, Llc 9613 Sandifur Pkwy Ste B, Pasco, WA 99301-8028 Ph: (509) 591-9454 |
Dr. Brent James Thielges, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9613 Sandifur Pkwy Ste B, Pasco, WA 99301 Phone: 509-591-9454 Fax: 509-578-1118 | |
Dr. Joshua Benjamin Grimm, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9613 Sandifur Pkwy Ste B, Pasco, WA 99301 Phone: 509-591-9454 Fax: 509-578-1118 | |
Dr. Theresa M Ledbetter, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 704 W Margaret St, Pasco, WA 99301 Phone: 509-545-5906 Fax: 509-547-5999 | |
Theresa M Ledbetter Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 704 W Margaret St, Pasco, WA 99301 Phone: 509-545-5906 Fax: 509-547-5999 |