Dr Kenneth G Indahl, DPM | |
2399 Highway 34, Suite A-6, Manasquan, NJ 08736-1500 | |
(732) 528-8223 | |
(732) 528-7057 |
Full Name | Dr Kenneth G Indahl |
---|---|
Gender | Male |
Speciality | Podiatrist |
Location | 2399 Highway 34, Manasquan, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780652644 | NPI | - | NPPES |
0599301 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 25MD00100900 (New Jersey) | Primary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 25MD00100900 (New Jersey) | Secondary |
Provider Name | Allaire Foot & Ankle |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154506400 PECOS PAC ID: 6305922071 Enrollment ID: O20080320000169 |
Mailing Address | Practice Location Address |
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Dr Kenneth G Indahl, DPM 2399 Highway 34, Suite A-6, Manasquan, NJ 08736-1500 Ph: (732) 528-8223 | Dr Kenneth G Indahl, DPM 2399 Highway 34, Suite A-6, Manasquan, NJ 08736-1500 Ph: (732) 528-8223 |
Dr. Erik Rudorfer, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2450 Rolling Hills Way, Manasquan, NJ 08736 Phone: 732-451-3169 Fax: 732-451-3169 | |
Allaire Foot & Ankle Podiatrist Medicare: Medicare Enrolled Practice Location: 2399 Hwy 34, Suite A6, Manasquan, NJ 08736 Phone: 732-528-8223 Fax: 732-528-7057 | |
Dr. Sydney Shakespeare, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 2315 Route 34, Manasquan, NJ 08736 Phone: 732-974-0404 Fax: 732-449-4271 | |
Dr. Sharon I Monter, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 28 Union Ave, Ste 1, Manasquan, NJ 08736 Phone: 732-295-1211 | |
Stacey A Paukovitz, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1903 Atlantic Ave, Bldg C, Ste 3, Manasquan, NJ 08736 Phone: 732-528-2218 Fax: 732-528-2234 | |
Paz Abergel, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 2315 Route 34, Manasquan, NJ 08736 Phone: 732-974-0404 Fax: 732-449-4271 | |
Ne Where Footcare Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 2450 Rolling Hills Way, Manasquan, NJ 08736 Phone: 732-451-3169 |