Advanced Foot Clinic Pllc is a medicare enrolled "Podiatrist" provider in Flowood, Mississippi. Their current practice location is
2475 Lakeland Dr, Suite B, Flowood, Mississippi. You can reach out to their office (for appointments etc.) via phone at
(601) 936-3445.
Advanced Foot Clinic Pllc is licensed to practice in Mississippi (license number 80147) and it also participates in the medicare program. Advanced Foot Clinic 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 1275701294.
Healthcare Provider's Profile
| Full Name | Advanced Foot Clinic Pllc |
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| Type | Facility |
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| Speciality | Podiatrist |
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| Location | 2475 Lakeland Dr, Flowood, Mississippi |
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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: 1275701294
- Provider Enumeration Date: 02/12/2008
- Last Update Date: 12/26/2013
Medicare PECOS Information:
- PECOS PAC ID: 7810109238
- Enrollment ID: O20120402000268
Medical Identifiers
Medical identifiers for Advanced Foot Clinic Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275701294 | NPI | - | NPPES |
| 427495756 | Other | MS | BLUE CROSS BLUE SHIELD |
| 00120443 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 80147 (Mississippi) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Advanced Foot Clinic Pllc acts as a billing entity for following providers:
| Provider Name | Farzad Faryabi |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1649364860
PECOS PAC ID: 1557454907
Enrollment ID: I20120402000299 |
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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. Advanced Foot Clinic 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 |
|---|
Advanced Foot Clinic Pllc
2475 Lakeland Dr, Suite B,
Flowood, MS 39232-9505
Ph: (601) 936-3445 | Advanced Foot Clinic Pllc
2475 Lakeland Dr, Suite B,
Flowood, MS 39232-9505
Ph: (601) 936-3445 |
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