Clifton Foot And Ankle Center P.c. | |
6101 Redwood Square Center, Suite 303, Centreville, VA 20121-4269 | |
(703) 996-3000 | |
(703) 229-1152 |
Full Name | Clifton Foot And Ankle Center P.c. |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 6101 Redwood Square Center, Centreville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902182660 | NPI | - | NPPES |
6614380001 | Other | VA | DME PTAN |
009302531 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 0103000986 (Virginia) | Primary |
Provider Name | Kenneth R Wilhelm |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1841287414 PECOS PAC ID: 2163617952 Enrollment ID: I20101105000665 |
Mailing Address | Practice Location Address |
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Clifton Foot And Ankle Center P.c. 6101 Redwood Square Ctr, Suite 303, Centreville, VA 20121-4265 Ph: (703) 996-3000 | Clifton Foot And Ankle Center P.c. 6101 Redwood Square Center, Suite 303, Centreville, VA 20121-4269 Ph: (703) 996-3000 |
James M Hurst, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5729 Centre Square Dr, Centreville, VA 20120 Phone: 703-830-3338 Fax: 703-830-9452 | |
Dr. Kenneth R Wilhelm, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6101 Redwood Square Ctr, Suite 303, Centreville, VA 20121 Phone: 703-996-3000 Fax: 703-229-1152 |