Dr Andy Archuleta, DPM in Lodi, CA - Medicare Podiatrist Provider

Dr Andy Archuleta, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Lodi, California. His current practice location is 1300 W Lodi Ave Ste W, Lodi, California. You can reach out to his office (for appointments etc.) via phone at (209) 334-6664.

Dr Andy Archuleta is licensed to practice in California (license number E5929) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407417744.

Contact Information

	Dr Andy Archuleta, DPM
	1300 W Lodi Ave Ste W, Lodi, CA 95242-3037
	(209) 334-6664
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Andy Archuleta
Gender	Male
Speciality	Podiatrist - Foot & Ankle Surgery
Location	1300 W Lodi Ave Ste W, Lodi, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407417744
Provider Enumeration Date: 06/26/2019
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 5395103683
Enrollment ID: I20230619001190

Medical Identifiers

Medical identifiers for Dr Andy Archuleta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407417744	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	E5929 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Andy Archuleta allows following entities to bill medicare on his behalf.

Provider Name	Lodi Podiatry Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750360699 PECOS PAC ID: 4789709262 Enrollment ID: O20100921000933

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. Dr Andy Archuleta 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
Dr Andy Archuleta, DPM 12303 De Paul Dr, Bridgeton, MO 63044-2512 Ph: () -	Dr Andy Archuleta, DPM 1300 W Lodi Ave Ste W, Lodi, CA 95242-3037 Ph: (209) 334-6664

Reviews and Comments

Podiatrist in Lodi, CA

Kevin Irving Stroh, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1300 W Lodi Ave, Ste W, Lodi, CA 95242 Phone: 209-334-6664 Fax: 209-334-2379
Alexander J Curfman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1300 W Lodi Ave Ste W, Lodi, CA 95242 Phone: 209-334-6664 Fax: 209-334-2379
Shock Thomas Gen Ptr Podiatrist Medicare: Medicare Enrolled Practice Location: 1300 W Lodi Ave, Ste W, Lodi, CA 95242 Phone: 209-334-6664 Fax: 209-334-2379

Dr Andy Archuleta, DPM - Medicare Podiatrist in Lodi, CA