- Medicare in Boca Raton, FL

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is a medicare enrolled "Non-pharmacy Dispensing Site" provider in Boca Raton, Florida. Their current practice location is 1601 Clint Moore Rd Ste 180, Boca Raton, Florida. You can reach out to their office (for appointments etc.) via phone at (561) 995-0229.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. 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 1699904169.

Contact Information

1601 Clint Moore Rd Ste 180,
Boca Raton, FL 33487-5713
(561) 995-0229
(561) 989-0775

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityNon-pharmacy Dispensing Site
Location1601 Clint Moore Rd Ste 180, Boca Raton, Florida
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699904169
  • Provider Enumeration Date: 07/06/2009
  • Last Update Date: 10/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7214080282
  • Enrollment ID: O20090810000095

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699904169NPI-NPPES
001593100MedicaidFL
CA001AOtherFLMEDICARE
10D2092005OtherFLCLIA
0005LOtherFLBLUE CROSS BLUE SHIELD OF FLORIDA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery PO3007 (Florida)Secondary
332900000XNon-pharmacy Dispensing Site (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameStephen Kushner
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1184695157
PECOS PAC ID: 7810894961
Enrollment ID: I20031217000017
Provider NameKyle J Kinmon
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1023076312
PECOS PAC ID: 6406818137
Enrollment ID: I20041103001032
Provider NameStuart M Goldman
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1316996044
PECOS PAC ID: 0941263081
Enrollment ID: I20041109000886
Provider NameGary A Lieber
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1932218179
PECOS PAC ID: 2860415304
Enrollment ID: I20060111000158
Provider NameJulio C Ortiz
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1154542512
PECOS PAC ID: 3678657830
Enrollment ID: I20080226000788
Provider NameJefferson D Morgan
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1902074628
PECOS PAC ID: 5193895019
Enrollment ID: I20080604000586
Provider NameGeorge A. Schwenck
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1609901354
PECOS PAC ID: 6305975533
Enrollment ID: I20100527000115
Provider NameNanette Diaz-rispler
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1730116039
PECOS PAC ID: 1951304377
Enrollment ID: I20101129000419
Provider NameShawn R Norris
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1770816860
PECOS PAC ID: 6800042706
Enrollment ID: I20120808000846
Provider NameVictor D Cruz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861622060
PECOS PAC ID: 8527297381
Enrollment ID: I20140128000725
Provider NameRaymond Paul Rowan
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1306188636
PECOS PAC ID: 1254621857
Enrollment ID: I20160610000700
Provider NameAshley L Bowles
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1891156857
PECOS PAC ID: 9830482520
Enrollment ID: I20160718001616
Provider NameEnrique A Hernandez Vila
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700044617
PECOS PAC ID: 6608900733
Enrollment ID: I20160930001588
Provider NameMaria Liza Eden Eden Giammaria
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1851528616
PECOS PAC ID: 2264685601
Enrollment ID: I20171113003301
Provider NameJason C Levitre
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1326017179
PECOS PAC ID: 9133152804
Enrollment ID: I20180202000825
Provider NameRaudel Garcia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629362520
PECOS PAC ID: 7214157098
Enrollment ID: I20180321001640
Provider NameJasmine M Cruz
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1376938183
PECOS PAC ID: 3476818873
Enrollment ID: I20180606002490
Provider NameEmilio Enrique Lopez
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1881919124
PECOS PAC ID: 2567776248
Enrollment ID: I20181231000372
Provider NameRandall Corey Orem
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1497741409
PECOS PAC ID: 3577469626
Enrollment ID: I20190215000209
Provider NameSara A Zaidi
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1588018527
PECOS PAC ID: 7618203886
Enrollment ID: I20190725001223
Provider NameDerek A Pawich
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1184076069
PECOS PAC ID: 1254669187
Enrollment ID: I20190829003278
Provider NameMalak El-rahi
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1962663070
PECOS PAC ID: 9133356660
Enrollment ID: I20191021002273
Provider NameFelipe F Peterson
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1033572656
PECOS PAC ID: 2567757677
Enrollment ID: I20191126000917
Provider NameMichael Nelson
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1386140408
PECOS PAC ID: 7719221373
Enrollment ID: I20210610003457
Provider NameRadu Dan Purtuc
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1154663235
PECOS PAC ID: 1355572629
Enrollment ID: I20210617000963
Provider NamePooneh Alaei Taleghani
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1790275931
PECOS PAC ID: 7810399235
Enrollment ID: I20210708000156
Provider NameJohn Cameron
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1265097596
PECOS PAC ID: 5092195354
Enrollment ID: I20220704000175
Provider NameMadisynn A Beckett
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1780242511
PECOS PAC ID: 3779963673
Enrollment ID: I20220709000484
Provider NameLaura Adler
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1255890059
PECOS PAC ID: 6204217243
Enrollment ID: I20220721002287
Provider NameMarlon Osbourne
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1295092583
PECOS PAC ID: 1658753322
Enrollment ID: I20220728001352
Provider NameAllen Clark
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1376810143
PECOS PAC ID: 7214257187
Enrollment ID: I20230727000173
Provider NameDeepika Ratnala
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1396368874
PECOS PAC ID: 3274995824
Enrollment ID: I20230814001684
Provider NameTori Breitenbach
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1336708650
PECOS PAC ID: 5395107726
Enrollment ID: I20230816001999
Provider NameVictoria Nolte
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1053986380
PECOS PAC ID: 3870031271
Enrollment ID: I20240816001011
Provider NameNikul M Panchal
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1033644737
PECOS PAC ID: 4082037726
Enrollment ID: I20241017004176

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. 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

1601 Clint Moore Rd Ste 180,
Boca Raton, FL 33487-5713

Ph: (561) 369-2199
1601 Clint Moore Rd Ste 180,
Boca Raton, FL 33487-5713

Ph: (561) 995-0229

Reviews and Comments



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.