White Mountain Foot And Ankle Care Center Pllc is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Lakeside, Arizona. Their current practice location is
5448 White Mountain Blvd, Suite 270, Lakeside, Arizona. You can reach out to their office (for appointments etc.) via phone at
(928) 532-1122.
White Mountain Foot And Ankle Care Center Pllc is licensed to practice in Arizona (license number 640) and it also participates in the medicare program. White Mountain Foot And Ankle Care Center Pllc
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 1508058249.
Healthcare Provider's Profile
| Full Name | White Mountain Foot And Ankle Care Center Pllc |
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| Type | Facility |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 5448 White Mountain Blvd, Lakeside, Arizona |
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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: 1508058249
- Provider Enumeration Date: 08/16/2007
- Last Update Date: 12/12/2008
Medicare PECOS Information:
- PECOS PAC ID: 6901999002
- Enrollment ID: O20070906000747
Medical Identifiers
Medical identifiers for White Mountain Foot And Ankle Care Center Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508058249 | NPI | - | NPPES |
| 087223 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 640 (Arizona) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
White Mountain Foot And Ankle Care Center Pllc acts as a billing entity for following providers:
| Provider Name | Hugh R Hall |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1952352619
PECOS PAC ID: 9638172752
Enrollment ID: I20060810000289 |
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| Provider Name | Nanette Hall |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1639827173
PECOS PAC ID: 6709255342
Enrollment ID: I20221203000443 |
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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. White Mountain Foot And Ankle Care Center Pllc 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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White Mountain Foot And Ankle Care Center Pllc
Po Box 39,
Overgaard, AZ 85933-0039
Ph: (928) 532-1122 | White Mountain Foot And Ankle Care Center Pllc
5448 White Mountain Blvd, Suite 270,
Lakeside, AZ 85929-5739
Ph: (928) 532-1122 |
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