Clarke Podiatry, Llc is a
Podiatrist - Foot & Ankle Surgery based in Milton Freewater, Oregon. Clarke Podiatry, Llc is licensed to practice in Oregon (license number DP00283) and their current practice location is
113 S Main St, Milton Freewater, Oregon. It can be reached at their office (for appointments etc.) via phone at
(541) 786-2321.
NPI number for Clarke Podiatry, Llc is 1790295228 and their current mailing address is Po Box 687, Milton Freewater, Oregon. Clarke Podiatry, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1790295228.
Healthcare Provider's Profile
| Full Name | Clarke Podiatry, Llc |
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| Type | Facility |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 113 S Main St, Milton Freewater, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790295228
- Provider Enumeration Date: 10/11/2017
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Clarke Podiatry, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790295228 | NPI | - | NPPES |
| 6805300 | Other | OR | BLUE CROSS BLUE SHIELD |
| 150541 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DP00283 (Oregon) | Primary |
| 213ES0131X | Podiatrist - Foot Surgery | DP00283 (Oregon) | Secondary |
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. Clarke Podiatry, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Clarke Podiatry, Llc
Po Box 687,
Milton Freewater, OR 97862-0687
Ph: (541) 786-2321 | Clarke Podiatry, Llc
113 S Main St,
Milton Freewater, OR 97862-1342
Ph: (541) 786-2321 |
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