Auburn Podiatry Llp | |
48 Auburn St, Auburn, MA 01501-2438 | |
(508) 832-6075 | |
(508) 832-9964 |
Full Name | Auburn Podiatry Llp |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 48 Auburn St, Auburn, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104933209 | NPI | - | NPPES |
642676 | Other | MA | TUFTS GROUP VENDOR NUMBER |
Y77343 | Other | MA | BS GROUP NUMBER |
9749730 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Georgios P Poniros |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1083671077 PECOS PAC ID: 5597723866 Enrollment ID: I20050105000696 |
Provider Name | Patricia M Sullivan |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1376501213 PECOS PAC ID: 5193773794 Enrollment ID: I20050111000277 |
Provider Name | Maria Bolla |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1992236244 PECOS PAC ID: 7113298936 Enrollment ID: I20201001001093 |
Provider Name | Najwah S Hayman |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1972024255 PECOS PAC ID: 1355740630 Enrollment ID: I20210519002227 |
Provider Name | Anna Kakizaki |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1942839170 PECOS PAC ID: 6507228665 Enrollment ID: I20230822001279 |
Mailing Address | Practice Location Address |
---|---|
Auburn Podiatry Llp 48 Auburn St, Auburn, MA 01501-2438 Ph: (508) 832-6075 | Auburn Podiatry Llp 48 Auburn St, Auburn, MA 01501-2438 Ph: (508) 832-6075 |
Georgios P Poniros, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 48 Auburn St, Auburn Podiatry Llp, Auburn, MA 01501 Phone: 508-832-6075 Fax: 508-832-9964 | |
Patricia Mary Sullivan, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 48 Auburn St, Auburn Podiatry Llp, Auburn, MA 01501 Phone: 508-832-6075 Fax: 508-832-9964 | |
Anna Kakizaki, Podiatrist Medicare: Medicare Enrolled Practice Location: 492 Washington St, Auburn, MA 01501 Phone: 508-832-6075 |