Andover Podiatry Pc is a medicare enrolled "Podiatrist" provider in Andover, Massachusetts. Their current practice location is
107 Main St, Andover, Massachusetts. You can reach out to their office (for appointments etc.) via phone at
(978) 475-1313.
Andover Podiatry Pc is licensed to practice in Massachusetts (license number 1991) and it also participates in the medicare program. Andover Podiatry Pc
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 1902015142.
Healthcare Provider's Profile
Full Name | Andover Podiatry Pc |
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Type | Facility |
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Speciality | Podiatrist |
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Location | 107 Main St, Andover, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902015142
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163498551
- Enrollment ID: O20040908000014
Medical Identifiers
Medical identifiers for Andover Podiatry Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902015142 | NPI | - | NPPES |
9738584 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 1991 (Massachusetts) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Andover Podiatry Pc acts as a billing entity for following providers:
Provider Name | Adam M Lang |
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Provider Type | Practitioner - Podiatry |
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Provider Identifiers | NPI Number: 1518257468 PECOS PAC ID: 5698994291 Enrollment ID: I20150903001156 |
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Provider Name | Sarah M Montgomery |
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Provider Type | Practitioner - Podiatry |
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Provider Identifiers | NPI Number: 1376053694 PECOS PAC ID: 8325302078 Enrollment ID: I20180503001699 |
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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. Andover Podiatry Pc 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 |
Andover Podiatry Pc 107 Main St, Andover, MA 01810-3803 Ph: (978) 475-1313 | Andover Podiatry Pc 107 Main St, Andover, MA 01810-3803 Ph: (978) 475-1313 |
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