Coronado Foot Specialists Podiatry Clinic Inc is a medicare enrolled "Podiatrist - Foot Surgery" provider in Coronado, California. Their current practice location is
1121 10th St, Coronado, California. You can reach out to their office (for appointments etc.) via phone at
(619) 435-0151.
Coronado Foot Specialists Podiatry Clinic Inc is licensed to practice in California (license number E2930) and it also participates in the medicare program. Coronado Foot Specialists Podiatry Clinic Inc
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 1639399371.
Healthcare Provider's Profile
| Full Name | Coronado Foot Specialists Podiatry Clinic Inc |
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| Type | Facility |
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| Speciality | Podiatrist - Foot Surgery |
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| Location | 1121 10th St, Coronado, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1639399371
- Provider Enumeration Date: 04/26/2007
- Last Update Date: 05/12/2014
Medicare PECOS Information:
- PECOS PAC ID: 0941328397
- Enrollment ID: O20110222000289
Medical Identifiers
Medical identifiers for Coronado Foot Specialists Podiatry Clinic Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639399371 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0131X | Podiatrist - Foot Surgery | E2930 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Coronado Foot Specialists Podiatry Clinic Inc acts as a billing entity for following providers:
| Provider Name | Bruce A Manchel |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1790890788
PECOS PAC ID: 5799820734
Enrollment ID: I20100302000902 |
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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. Coronado Foot Specialists Podiatry Clinic Inc 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 Address | Practice Location Address |
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Coronado Foot Specialists Podiatry Clinic Inc
1121 10th St,
Coronado, CA 92118-3401
Ph: (619) 435-0151 | Coronado Foot Specialists Podiatry Clinic Inc
1121 10th St,
Coronado, CA 92118-3401
Ph: (619) 435-0151 |
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