| Agave Foot Specialists, Pllc | |
|
16841 N. 31st Ave., Ste. 134, Phoenix, AZ 85053-3051 | |
| (623) 322-5501 | |
| (623) 322-8996 |
| Full Name | Agave Foot Specialists, Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 16841 N. 31st Ave., Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861508541 | NPI | - | NPPES |
| DD0997 | Other | AZ | RAILROAD MEDICARE |
| Z78990 | Other | AZ | MEDICARE ID-PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 0552 (Arizona) | Primary |
| Provider Name | Heather A Couch |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184629156 PECOS PAC ID: 5597753665 Enrollment ID: I20040506000304 |
| Provider Name | Amanda Sarah Lernor |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861808917 PECOS PAC ID: 3779853221 Enrollment ID: I20170717002360 |
| Mailing Address | Practice Location Address |
|---|---|
| Agave Foot Specialists, Pllc 16841 N. 31st Ave., Ste. 134, Phoenix, AZ 85053-3051 Ph: (623) 322-5501 | Agave Foot Specialists, Pllc 16841 N. 31st Ave., Ste. 134, Phoenix, AZ 85053-3051 Ph: (623) 322-5501 |
Dr. Stefan Mudryj, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 16601 N 40th St, Phoenix, AZ 85032 Phone: 480-235-5797 Fax: 480-629-5206 | |
Elite Foot And Ankle Surgical Specialists Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1002 E Mcdowell Rd, Suite A, Phoenix, AZ 85006 Phone: 602-262-2663 Fax: 602-258-3008 | |
Dr. Troy Scott Wilde, D.P.M. Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 1012 E Willetta St, Phoenix, AZ 85006 Phone: 602-839-6484 | |
Podboys Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 2340 E Beardsley Rd Ste 120, Phoenix, AZ 85024 Phone: 602-456-2085 | |
Desert Foot Surgeons P L L C Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2222 E Highland Ave, Suite 206, Phoenix, AZ 85016 Phone: 602-995-1169 Fax: 602-995-7155 | |
Andrew E Lowy Dpm Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 14001 N 7th St Ste A101, Phoenix, AZ 85022 Phone: 602-942-3966 Fax: 602-548-9470 | |
Associated Podiatrists, P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 3330 N 2nd St, Suite 100, Phoenix, AZ 85012 Phone: 602-264-1031 Fax: 602-264-3864 |