Dr Jennifer Jo Pacaccio, DPM | |
2180 Oakland Dr, Unit A, Sycamore, IL 60178-3122 | |
(815) 669-4811 | |
(815) 986-6062 |
Full Name | Dr Jennifer Jo Pacaccio |
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Gender | Female |
Speciality | Podiatrist |
Location | 2180 Oakland Dr, Sycamore, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013113265 | NPI | - | NPPES |
016005347 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 016.005347 (Illinois) | Primary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 0103300964 (Virginia) | Secondary |
Provider Name | Advanced Foot And Ankle Surgeons, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922230093 PECOS PAC ID: 7416093844 Enrollment ID: O20091015000087 |
Mailing Address | Practice Location Address |
---|---|
Dr Jennifer Jo Pacaccio, DPM 2180 Oakland Dr, Unit A, Sycamore, IL 60178-3122 Ph: (815) 669-4811 | Dr Jennifer Jo Pacaccio, DPM 2180 Oakland Dr, Unit A, Sycamore, IL 60178-3122 Ph: (815) 669-4811 |
Thomas S Dwyer, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2111 Midlands Ct, Sycamore, IL 60178 Phone: 815-758-0000 Fax: 815-758-8521 | |
Tina Starkweather Dpm & Associates Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2560 Hauser Ross Dr., Suite 400, Sycamore, IL 60178 Phone: 815-899-3338 Fax: 815-899-3332 | |
Neil B Levin, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1675 Bethany Rd, Suite B, Sycamore, IL 60178 Phone: 815-899-2575 Fax: 815-899-2581 | |
Family Podiatry Podiatrist Medicare: Medicare Enrolled Practice Location: 1675 Bethany Rd, Ste B, Sycamore, IL 60178 Phone: 815-899-2575 Fax: 815-899-2581 | |
Pramod N Patel, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-758-8671 Fax: 815-758-1731 | |
Dr. Shane Myles York, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2111 Midlands Ct, Sycamore, IL 60178 Phone: 815-758-0000 Fax: 815-756-7130 |