| East Texas Foot Associates | |
|
200 S. John Redditt Dr., Lufkin, TX 75904 | |
| (936) 632-5252 | |
| (936) 632-5284 |
| Full Name | East Texas Foot Associates |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 200 S. John Redditt Dr., Lufkin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114086659 | NPI | - | NPPES |
| 14HZ | Other | BCBS | |
| 151320201 | Medicaid | TX | |
| 373459201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 0540 (Texas) | Primary |
| 213E00000X | Podiatrist | 1590 (Texas) | Secondary |
| Provider Name | Edward A Sharrer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891789301 PECOS PAC ID: 4880594746 Enrollment ID: I20080417000358 |
| Provider Name | Henry C Warren |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447397484 PECOS PAC ID: 7719065622 Enrollment ID: I20100518000615 |
| Provider Name | Jason C Reel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588607360 PECOS PAC ID: 8123083912 Enrollment ID: I20110208000320 |
| Provider Name | Mark E Sowell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679517528 PECOS PAC ID: 1355511320 Enrollment ID: I20120411000396 |
| Provider Name | Matthew D Daugherty |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245510932 PECOS PAC ID: 1658596846 Enrollment ID: I20140701002098 |
| Provider Name | Eddy G Corse |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265893499 PECOS PAC ID: 3577833045 Enrollment ID: I20170717003424 |
| Provider Name | Shayla Robinson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063019917 PECOS PAC ID: 7810375524 Enrollment ID: I20220609000480 |
| Provider Name | Kayla Richelle Robinson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598386005 PECOS PAC ID: 7012338486 Enrollment ID: I20230721000583 |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Foot Associates 200 S. John Redditt Dr, Lufkin, TX 75904 Ph: (936) 632-5252 | East Texas Foot Associates 200 S. John Redditt Dr., Lufkin, TX 75904 Ph: (936) 632-5252 |
Henry C Warren, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 200 S. John Redditt Dr., Lufkin, TX 75904 Phone: 936-632-5252 Fax: 936-632-5284 | |
Michael J Sabo, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 300 N John Redditt Dr, Suite 4, Lufkin, TX 75904 Phone: 936-632-5252 Fax: 936-632-5284 | |
Jason Carroll Reel, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 200 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-632-5252 Fax: 936-632-5284 | |
Kayla Richelle Robinson, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 200 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-632-5252 | |
Edward A Sharrer, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 200 S John Redditt Dr., Lufkin, TX 75904 Phone: 936-632-5252 Fax: 936-632-5284 | |
Mr. Anthony P Noreiga, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 900 Ellis Ave, Lufkin, TX 75904 Phone: 936-637-3383 Fax: 936-637-3385 |