Dr Tina Renee Entwistle, DPM | |
6778 Mill Rd, Suite 100, Rockford, IL 61108-2502 | |
(815) 227-0041 | |
Not Available |
Full Name | Dr Tina Renee Entwistle |
---|---|
Gender | Female |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 6778 Mill Rd, Rockford, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598985939 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 016-005194 (Illinois) | Primary |
Provider Name | Tina R. Entwistle, D.p.m., P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740463678 PECOS PAC ID: 8921189952 Enrollment ID: O20080116000419 |
Mailing Address | Practice Location Address |
---|---|
Dr Tina Renee Entwistle, DPM 6778 Mill Rd, Suite 100, Rockford, IL 61108-2502 Ph: () - | Dr Tina Renee Entwistle, DPM 6778 Mill Rd, Suite 100, Rockford, IL 61108-2502 Ph: (815) 227-0041 |
Dr. Douglas Joseph Pacaccio, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498 | |
William J Bush, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 Fax: 815-381-7498 | |
Dr. Mary White Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 6451 E Riverside Blvd, Ste 104, Rockford, IL 61114 Phone: 815-282-4000 | |
Dr. Donald C Bisby, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 | |
Footsteps Of Illinois, Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 6999 Redansa Dr Ste 5a, Rockford, IL 61108 Phone: 815-229-1008 | |
Dr. Paul A Galluzzo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6999 Redansa Drive, Rockford, IL 61108 Phone: 815-229-1008 Fax: 815-229-1654 | |
Thomas A Runne Dpm Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1437 S Bell School Rd Ste 2, Rockford, IL 61108 Phone: 815-284-2023 |