| Bluegrass Foot And Ankle Care, Pllc | |
|
326 Highland Park Dr, Richmond, KY 40475-3487 | |
| (859) 623-3550 | |
| Not Available |
| Full Name | Bluegrass Foot And Ankle Care, Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 326 Highland Park Dr, Richmond, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598896334 | NPI | - | NPPES |
| 90011214 | Medicaid | KY | |
| 7100051420 | Medicaid | KY | |
| 000000330835 | Other | KY | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 00274 (Kentucky) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 00274 (Kentucky) | Secondary |
| Provider Name | Randall Wayne Hall |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215935671 PECOS PAC ID: 0345230132 Enrollment ID: I20040513001434 |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Foot And Ankle Care, Pllc 326 Highland Park Dr, Richmond, KY 40475-3487 Ph: (859) 623-3550 | Bluegrass Foot And Ankle Care, Pllc 326 Highland Park Dr, Richmond, KY 40475-3487 Ph: (859) 623-3550 |
Dr. Randall Wayne Hall, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 326 Highland Park Dr, Richmond, KY 40475 Phone: 859-623-3550 Fax: 859-623-3393 | |
Upperline Healthcare Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 115 N Keeneland Dr, Richmond, KY 40475 Phone: 859-623-6157 | |
Bluegrass Foot And Ankle Care Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 326 Highland Park Dr, Richmond, KY 40475 Phone: 859-623-3550 |