Capital Foot & Ankle Care Centre Pa | |
22325 Greenview Pkwy, Great Mills, MD 20634-3491 | |
(301) 862-3338 | |
(301) 862-3335 |
Full Name | Capital Foot & Ankle Care Centre Pa |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 22325 Greenview Pkwy, Great Mills, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1053320580 | NPI | - | NPPES |
KS57 | Other | MD | BC/BS OF MD |
231309100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
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213ES0103X | Podiatrist - Foot & Ankle Surgery | N/A (* (Not Available)) | Primary |
332900000X | Non-pharmacy Dispensing Site | 01346 (Maryland) | Secondary |
Provider Name | Robert Lewis Vanfosson |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1194734780 PECOS PAC ID: 4082650908 Enrollment ID: I20050630000889 |
Provider Name | Douglas Hallgren |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1336158955 PECOS PAC ID: 4486691136 Enrollment ID: I20101202000276 |
Provider Name | David R Hatch |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1023410008 PECOS PAC ID: 4981947561 Enrollment ID: I20190522002649 |
Mailing Address | Practice Location Address |
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Capital Foot & Ankle Care Centre Pa Po Box 1310, California, MD 20619-1310 Ph: (301) 862-3338 | Capital Foot & Ankle Care Centre Pa 22325 Greenview Pkwy, Great Mills, MD 20634-3491 Ph: (301) 862-3338 |
Dr. Robert L Vanfosson, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 22325 Greenview Pkwy, Great Mills, MD 20634 Phone: 301-862-3338 Fax: 301-862-3335 | |
Dr. Douglas H Hallgren, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 22325 Greenview Pkwy, Great Mills, MD 20634 Phone: 301-862-3338 Fax: 301-862-3335 | |
Dr. Royden J Stanford, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 22325 Greenview Pkwy Unit 1a, Great Mills, MD 20634 Phone: 301-862-3338 |