Dr Mark David Pell, DPM | |
1500 James Simpson Jr Way, Covington, KY 41011-0801 | |
(859) 212-0175 | |
(859) 655-8911 |
Full Name | Dr Mark David Pell |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 14 Years |
Location | 1500 James Simpson Jr Way, Covington, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639433261 | NPI | - | NPPES |
7100640210 | Medicaid | KY | |
0382069 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | SC006335 (Pennsylvania) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 243972 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Elizabeth Edgewood | Edgewood, KY | Hospital |
St Elizabeth Ft Thomas | Fort thomas, KY | Hospital |
St Elizabeth Florence | Florence, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Medical Group, Inc | 2163326240 | 712 |
Provider Name | Summit Medical Group, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark David Pell, DPM Po Box 635283, Cincinnati, OH 45263-5283 Ph: (592) 120-1758 | Dr Mark David Pell, DPM 1500 James Simpson Jr Way, Covington, KY 41011-0801 Ph: (859) 212-0175 |
Northern Kentucky Foot Specialists, Psc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4327 Winston Ave, Covington, KY 41015 Phone: 859-261-8608 Fax: 859-261-9292 | |
Foot Specialists Of Greater Cincinnati Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1500 James Simpson Jr Way, Suite 302, Covington, KY 41011 Phone: 859-341-9900 Fax: 859-341-1649 |