- Medicare Podiatrist in Winter Garden, FL

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is a medicare enrolled "Podiatrist" provider in Winter Garden, Florida. Their current practice location is 15815 Shaddock Dr Ste 130, Winter Garden, Florida. You can reach out to their office (for appointments etc.) via phone at (407) 605-2321.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. 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 1437207933.

Contact Information

15815 Shaddock Dr Ste 130,
Winter Garden, FL 34787-5773
(407) 605-2321
(407) 671-4155

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityPodiatrist
Location15815 Shaddock Dr Ste 130, Winter Garden, Florida
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437207933
  • Provider Enumeration Date: 01/08/2007
  • Last Update Date: 02/06/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0042252140
  • Enrollment ID: O20050531000341

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437207933NPI-NPPES
40483OtherFLBLUE CROSS BLUE SHIELD
CG1740OtherFLRAILROAD MEDICARE
162337800OtherFLDEPT. OF LABOR
6201906OtherFLGHI
390408300MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist (* (Not Available))Primary
213EP0504XPodiatrist - Public Medicine (* (Not Available))Secondary
213EP1101XPodiatrist - Primary Podiatric Medicine (* (Not Available))Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Secondary
213ES0131XPodiatrist - Foot Surgery (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameSteven Baker
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1982670873
PECOS PAC ID: 5890735567
Enrollment ID: I20050531000730
Provider NameJames Michael Cottom
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1720079163
PECOS PAC ID: 7618903618
Enrollment ID: I20071217000578
Provider NameTodd C Talbert
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1831163872
PECOS PAC ID: 0648311688
Enrollment ID: I20100112000794
Provider NameDonald Adamov
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1487635470
PECOS PAC ID: 3678500063
Enrollment ID: I20111209000738
Provider NameMichael Zuri
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1548683667
PECOS PAC ID: 1153641915
Enrollment ID: I20150518001929
Provider NameRoma Patel
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1174078109
PECOS PAC ID: 6305135278
Enrollment ID: I20170104001448
Provider NameAdam J Siegel
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1356690135
PECOS PAC ID: 1658684402
Enrollment ID: I20170720002192
Provider NameJalpen Patel
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1619397643
PECOS PAC ID: 3274807706
Enrollment ID: I20170922001138
Provider NameElaine Felix
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1629503750
PECOS PAC ID: 9830511278
Enrollment ID: I20200612000540
Provider NameJacob L Huffman
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1104383512
PECOS PAC ID: 7012323587
Enrollment ID: I20210308001848
Provider NameKyle L Haverstrom
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1649791369
PECOS PAC ID: 8729322136
Enrollment ID: I20210726002208
Provider NameSagar Ajay Shah
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1609254473
PECOS PAC ID: 6709134448
Enrollment ID: I20220120002373
Provider NameTamara Nemeroff
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1255892592
PECOS PAC ID: 3678966470
Enrollment ID: I20220131000187
Provider NameRyan Alexander Haaksma
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1578026662
PECOS PAC ID: 8820323728
Enrollment ID: I20220209000107
Provider NamePatrick Maxwell Derby
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1073075222
PECOS PAC ID: 2264767433
Enrollment ID: I20220613002182
Provider NameNathalia Esmeral
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1558822502
PECOS PAC ID: 7214317247
Enrollment ID: I20220707002367
Provider NameDean Sorrento
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1487654166
PECOS PAC ID: 4486704178
Enrollment ID: I20220708003045
Provider NameVanisaben Beraj Patel
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1679199962
PECOS PAC ID: 1456716802
Enrollment ID: I20230508002208
Provider NameMelissa N Prutch
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1164153706
PECOS PAC ID: 6901288364
Enrollment ID: I20230816003161
Provider NameRaj L Prabhakar
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1952900649
PECOS PAC ID: 3577925619
Enrollment ID: I20230822000106
Provider NameTrevor Baddaloo
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1588192710
PECOS PAC ID: 3971912882
Enrollment ID: I20240229000033
Provider NameJacob Ivey
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1891374302
PECOS PAC ID: 2769891613
Enrollment ID: I20240514003841
Provider NameDivyesh M Mehta
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1861075178
PECOS PAC ID: 0840631347
Enrollment ID: I20240515002172
Provider NameCarolina Roxana Marquez
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1992381412
PECOS PAC ID: 5991147076
Enrollment ID: I20240521001248
Provider NameTyler J Verdoni
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1093392581
PECOS PAC ID: 8820538648
Enrollment ID: I20240909000045
Provider NameHeather Wilson
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1689899981
PECOS PAC ID: 1355438797
Enrollment ID: I20240912003927

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. 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 AddressPractice Location Address

15815 Shaddock Dr Ste 130,
Winter Garden, FL 34787-5773

Ph: (813) 400-1119
15815 Shaddock Dr Ste 130,
Winter Garden, FL 34787-5773

Ph: (407) 605-2321

Reviews and Comments


Podiatrist in Winter Garden, FL

Upperline Healthcare, Pc
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 15805 Shaddock Dr Ste B, Winter Garden, FL 34787
Phone: 407-423-1234    
Roma Patel, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 15815 Shaddock Dr Ste 130, Winter Garden, FL 34787
Phone: 407-605-2321    Fax: 407-671-4155
Upperline Healthcare, Pc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 15805 Shaddock Dr Ste B, Winter Garden, FL 34787
Phone: 407-423-1234    
Jeanne Marie Louise Mirbey, DPM
Podiatrist
Medicare: May Accept Medicare Assignments
Practice Location: 15805 Shaddock Dr Ste B, Winter Garden, FL 34787
Phone: 407-423-1234    
Andres M Perez, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 15805 Shaddock Dr Ste B, Winter Garden, FL 34787
Phone: 407-423-1234    
Jacob Ivey, DPM
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 15815 Shaddock Dr Ste 130, Winter Garden, FL 34787
Phone: 407-605-2321    Fax: 407-671-4155

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.