| Physicians Footcare Orangeburg Llc | |
|
718 Broughton St, Orangeburg, SC 29115 | |
| (803) 531-2888 | |
| (803) 531-2813 |
| Full Name | Physicians Footcare Orangeburg Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 718 Broughton St, Orangeburg, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689683666 | NPI | - | NPPES |
| DF2229 | Other | SC | RETIRED RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 570 (South Carolina) | Primary |
| Provider Name | Kevin L Ray |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194752253 PECOS PAC ID: 6406808674 Enrollment ID: I20050216000113 |
| Provider Name | Bridget R Moore |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669727251 PECOS PAC ID: 1254645518 Enrollment ID: I20150730011260 |
| Provider Name | Porsha Melcher |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437568136 PECOS PAC ID: 3577825991 Enrollment ID: I20180323001382 |
| Provider Name | Sabina K Abbasova |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174901425 PECOS PAC ID: 4880944016 Enrollment ID: I20180907002363 |
| Provider Name | Patrick Joseph Nunan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780648345 PECOS PAC ID: 1355306879 Enrollment ID: I20190212000163 |
| Provider Name | Lennie Peters |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336375922 PECOS PAC ID: 7012063423 Enrollment ID: I20201123001233 |
| Provider Name | Ibn Ansari |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346777927 PECOS PAC ID: 2668862913 Enrollment ID: I20211201001297 |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Footcare Orangeburg Llc 718 Broughton St, Orangeburg, SC 29115-6648 Ph: (803) 531-2888 | Physicians Footcare Orangeburg Llc 718 Broughton St, Orangeburg, SC 29115 Ph: (803) 531-2888 |
Dr. Dana Justine Fisher, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 135 Express Ln, Orangeburg, SC 29118 Phone: 803-536-2100 Fax: 803-536-4399 | |
Fisher Foot Clinic, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 135 Express Ln, Orangeburg, SC 29118 Phone: 803-536-2100 Fax: 803-536-4399 | |
Dr. Lamar Cato, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 Fax: 803-531-6907 | |
Dr. Sabina K Abbasova, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 718 Broughton St, Orangeburg, SC 29115 Phone: 803-531-2888 | |
Dr. Kevin L. Ray, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 718 Broughton St, Orangeburg, SC 29115 Phone: 803-531-2888 | |
Byron Jackson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 Fax: 803-531-6907 | |
Patrick Bik, Podiatrist Medicare: Medicare Enrolled Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-3837 |