Bangor Podiatry Of Brodheadsville is a
Podiatrist - Foot & Ankle Surgery based in Brodheadsville, Pennsylvania. Bangor Podiatry Of Brodheadsville is licensed to practice in Pennsylvania (license number SC004468L) and their current practice location is
1636 Route 209, Bk Plaza, Unit 1, Brodheadsville, Pennsylvania. It can be reached at their office (for appointments etc.) via phone at
(570) 992-5779.
NPI number for Bangor Podiatry Of Brodheadsville is 1972996189 and their current mailing address is 325 Blue Valley Dr, Bangor, Pennsylvania. Bangor Podiatry Of Brodheadsville
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1972996189.
Healthcare Provider's Profile
Full Name | Bangor Podiatry Of Brodheadsville |
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Type | Facility |
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Speciality | Podiatrist - Foot & Ankle Surgery |
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Location | 1636 Route 209, Brodheadsville, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972996189
- Provider Enumeration Date: 03/12/2015
- Last Update Date: 03/26/2024
Medical Identifiers
Medical identifiers for Bangor Podiatry Of Brodheadsville such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972996189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | SC004468L (Pennsylvania) | Primary |
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. Bangor Podiatry Of Brodheadsville is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bangor Podiatry Of Brodheadsville 325 Blue Valley Dr, Bangor, PA 18013-1526 Ph: (610) 588-6621 | Bangor Podiatry Of Brodheadsville 1636 Route 209, Bk Plaza, Unit 1, Brodheadsville, PA 18322-7799 Ph: (570) 992-5779 |
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