Affiliated Foot Care Center, Llc is a medicare enrolled "Podiatrist" provider in Middlefield, Connecticut. Their current practice location is
470 Main St, Middlefield, Connecticut. You can reach out to their office (for appointments etc.) via phone at
(860) 349-8500.
Affiliated Foot Care Center, Llc is licensed to practice in Connecticut (license number 000723) and it also participates in the medicare program. Affiliated Foot Care Center, Llc
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 1295807451.
Healthcare Provider's Profile
| Full Name | Affiliated Foot Care Center, Llc |
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| Type | Facility |
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| Speciality | Podiatrist |
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| Location | 470 Main St, Middlefield, Connecticut |
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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: 1295807451
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 01/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 7618937939
- Enrollment ID: O20041013000407
Medical Identifiers
Medical identifiers for Affiliated Foot Care Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295807451 | NPI | - | NPPES |
| 004206951 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 000723 (Connecticut) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Affiliated Foot Care Center, Llc acts as a billing entity for following providers:
| Provider Name | Gordon E Fosdick |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1740206192
PECOS PAC ID: 4486614708
Enrollment ID: I20041012000855 |
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| Provider Name | Ryan Donegan |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1780942045
PECOS PAC ID: 6406148626
Enrollment ID: I20160708001233 |
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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. Affiliated Foot Care Center, Llc 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 |
|---|
Affiliated Foot Care Center, Llc
470 Main St,
Middlefield, CT 06455-1210
Ph: (860) 349-8500 | Affiliated Foot Care Center, Llc
470 Main St,
Middlefield, CT 06455-1210
Ph: (860) 349-8500 |
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