Dr Rudolf W Cisco, DPM | |
1224 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | |
(770) 287-0606 | |
(770) 287-0159 |
Full Name | Dr Rudolf W Cisco |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 38 Years |
Location | 1224 Sherwood Park Dr Ne, Gainesville, Georgia |
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 |
---|---|---|---|
1043236706 | NPI | - | NPPES |
00409274A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 000596 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Village Podiatry Group Llc | 4587646971 | 42 |
Provider Name | Village Podiatry Group Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508846718 PECOS PAC ID: 4587646971 Enrollment ID: O20040601000776 |
Mailing Address | Practice Location Address |
---|---|
Dr Rudolf W Cisco, DPM 1224 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 Ph: (770) 287-0606 | Dr Rudolf W Cisco, DPM 1224 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 Ph: (770) 287-0606 |
North Ga Foot And Ankle Spec Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1224 Sherwood Park Dr Ne, Gainesville, GA 30501 Phone: 770-287-0606 | |
Dr. Gregory Thomas Sutton, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 447 Ee Butler Parkway Floor 1, Gainesville, GA 30501 Phone: 770-796-0005 Fax: 770-796-0006 | |
Gainesville Podiatry Clinic, Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1975 Beverly Road, Suite B, Gainesville, GA 30501 Phone: 770-536-9908 Fax: 770-532-7102 | |
Purvi Shaan Shah, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 590 S Enota Dr Ne Ste 1, Gainesville, GA 30501 Phone: 470-252-5756 Fax: 470-252-5756 | |
Malone Foot And Ankle, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 691 Lanier Park Dr, Suite B, Gainesville, GA 30501 Phone: 770-533-9115 Fax: 770-533-9922 | |
Dr. Patrick M. Qualtire, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 |