| Advanced Foot & Ankle Center Sc | |
|
410 E 2nd St, Merrill, WI 54452-2319 | |
| (715) 536-7444 | |
| (715) 536-1547 |
| Full Name | Advanced Foot & Ankle Center Sc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 410 E 2nd St, Merrill, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285834929 | NPI | - | NPPES |
| 000000485016 | Other | WI | WI BLUE SHIELD |
| 000086520 | Other | WI | RAILROAD MEDICARE |
| 1197940001 | Other | DMERC REGION B | |
| 43223800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 748 (Wisconsin) | Primary |
| Provider Name | Jeffrey Kirk Chism |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285621730 PECOS PAC ID: 2860448818 Enrollment ID: I20100608000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Foot & Ankle Center Sc 410 E 2nd St, Merrill, WI 54452 Ph: (715) 536-7444 | Advanced Foot & Ankle Center Sc 410 E 2nd St, Merrill, WI 54452-2319 Ph: (715) 536-7444 |
Family Foot And Ankle Clinic Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 100 S Court St, Merrill, WI 54452 Phone: 715-722-0999 | |
Dr. Jeffrey K Chism, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 410 E 2nd St, Merrill, WI 54452 Phone: 715-536-7444 Fax: 715-536-1547 |