Bradford Foot And Ankle Specialties | |
1786 Golden Mile Rd, Suite 1, Towanda, PA 18848-9733 | |
(570) 265-7700 | |
(570) 268-4266 |
Full Name | Bradford Foot And Ankle Specialties |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 1786 Golden Mile Rd, Towanda, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730196601 | NPI | - | NPPES |
1025528480001 | Medicaid | PA | |
206545 | Other | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | SC003249L (Pennsylvania) | Primary |
Provider Name | Timothy M Kump |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1841294485 PECOS PAC ID: 1355234824 Enrollment ID: I20040206000828 |
Mailing Address | Practice Location Address |
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Bradford Foot And Ankle Specialties Po Box 376, Wysox, PA 18854-0376 Ph: (570) 265-7700 | Bradford Foot And Ankle Specialties 1786 Golden Mile Rd, Suite 1, Towanda, PA 18848-9733 Ph: (570) 265-7700 |
Anthony Wayne Norris, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 71 Hospital Dr, Towanda, PA 18848 Phone: 570-265-6300 Fax: 570-268-2807 | |
Timothy M Kump, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1786 Golden Mile Rd, Suite 1, Towanda, PA 18848 Phone: 570-265-7700 Fax: 570-268-4266 |