Broadway Foot & Ankle Clinic, Pc - Medicare Podiatrist in Portland, OR

Broadway Foot & Ankle Clinic, Pc is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Portland, Oregon. Their current practice location is 3508 Ne Broadway St, Portland, Oregon. You can reach out to their office (for appointments etc.) via phone at (503) 282-8777.

Broadway Foot & Ankle Clinic, Pc is licensed to practice in Oregon (license number DP00179) and it also participates in the medicare program. Broadway Foot & Ankle Clinic, Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1457498438.

Contact Information

Broadway Foot & Ankle Clinic, Pc
3508 Ne Broadway St,
Portland, OR 97232-1821
(503) 282-8777
(503) 282-8853

Map and Direction




Healthcare Provider's Profile

Full NameBroadway Foot & Ankle Clinic, Pc
TypeFacility
SpecialityPodiatrist - Foot & Ankle Surgery
Location3508 Ne Broadway St, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457498438
  • Provider Enumeration Date: 01/31/2007
  • Last Update Date: 08/07/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 3274631841
  • Enrollment ID: O20070605000305

Medical Identifiers

Medical identifiers for Broadway Foot & Ankle Clinic, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457498438NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery DP00179 (Oregon)Primary
213ES0103XPodiatrist - Foot & Ankle Surgery DP00315 (Oregon)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery DP00244 (Oregon)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Broadway Foot & Ankle Clinic, Pc acts as a billing entity for following providers:
Provider NameGina M Bullock
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1255440020
PECOS PAC ID: 1557336567
Enrollment ID: I20040901000519
Provider NameElliot N Michael
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1679682439
PECOS PAC ID: 0143327387
Enrollment ID: I20070522000605
Provider NameGary J Chiotti
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1639288426
PECOS PAC ID: 1355440306
Enrollment ID: I20070615000623

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. Broadway Foot & Ankle Clinic, Pc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Broadway Foot & Ankle Clinic, Pc
3508 Ne Broadway St,
Portland, OR 97232-1821

Ph: (503) 282-8777
Broadway Foot & Ankle Clinic, Pc
3508 Ne Broadway St,
Portland, OR 97232-1821

Ph: (503) 282-8777

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.