Dunnellon Podiatry Center P A is a medicare enrolled "Podiatrist" provider in Dunnellon, Florida. Their current practice location is
11786 Cedar Street, Dunnellon Podiatry Center Pa, Dunnellon, Florida. You can reach out to their office (for appointments etc.) via phone at
(352) 489-6621.
Dunnellon Podiatry Center P A is licensed to practice in Florida (license number P02759) and it also participates in the medicare program. Dunnellon Podiatry Center P A
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1194742148.
Healthcare Provider's Profile
| Full Name | Dunnellon Podiatry Center P A |
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| Type | Facility |
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| Speciality | Podiatrist |
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| Location | 11786 Cedar Street, Dunnellon, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194742148
- Provider Enumeration Date: 07/16/2006
- Last Update Date: 12/12/2007
Medicare PECOS Information:
- PECOS PAC ID: 6901940956
- Enrollment ID: O20100215000666
Medical Identifiers
Medical identifiers for Dunnellon Podiatry Center P A such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194742148 | NPI | - | NPPES |
| 65619 | Other | FL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | P02759 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Dunnellon Podiatry Center P A acts as a billing entity for following providers:
| Provider Name | Stacy Lynn Witfill |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1285815647
PECOS PAC ID: 3274677224
Enrollment ID: I20100215000661 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dunnellon Podiatry Center P A is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dunnellon Podiatry Center P A
Po Box 2633, Dunnellon Podiatry Center Pa,
Dunnellon, FL 34430
Ph: (352) 489-6621 | Dunnellon Podiatry Center P A
11786 Cedar Street, Dunnellon Podiatry Center Pa,
Dunnellon, FL 34431
Ph: (352) 489-6621 |
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