| Bozeman Podiatric Clinic Inc | |
|
1125 W Kagy Blvd Ste 101, Bozeman, MT 59715-5879 | |
| (406) 586-5318 | |
| (406) 586-1635 |
| Full Name | Bozeman Podiatric Clinic Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1125 W Kagy Blvd Ste 101, Bozeman, Montana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144404401 | NPI | - | NPPES |
| M000009239 | Other | MT | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 79 (Montana) | Primary |
| Provider Name | Jan Dean Clark |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497803803 PECOS PAC ID: 4587687884 Enrollment ID: I20060112000854 |
| Provider Name | Thomas B Wright |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154704377 PECOS PAC ID: 0840535126 Enrollment ID: I20191009002739 |
| Mailing Address | Practice Location Address |
|---|---|
| Bozeman Podiatric Clinic Inc 1125 W Kagy Blvd Ste 101, Bozeman, MT 59715-5879 Ph: (406) 586-5318 | Bozeman Podiatric Clinic Inc 1125 W Kagy Blvd Ste 101, Bozeman, MT 59715-5879 Ph: (406) 586-5318 |
Thomas Wright, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1125 W Kagy Blvd Ste 101, Bozeman, MT 59715 Phone: 406-586-5318 | |
Mr. Tod Russell Storm, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 931 Highland Blvd, Suite 3310, Bozeman, MT 59715 Phone: 406-587-8478 Fax: 406-582-0730 | |
Mr. Jan Dean Clark, DMD Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 300 No Willson, 602f, Bozeman, MT 59715 Phone: 406-586-5318 Fax: 406-586-1635 | |
Andrew H Rice, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3901 Wellness Way, Bozeman, MT 59718 Phone: 406-898-1200 | |
Dr. Casey Clarice Ebert, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 931 Highland Blvd, Suite 3310, Bozeman, MT 59715 Phone: 406-587-8478 | |
Dr. William Mann Wilshire Iv, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 931 Highland Blvd, Suite 3310, Bozeman, MT 59715 Phone: 406-587-8478 Fax: 406-582-0730 |