Eastern Carolina Foot An Ankle Specialists, Inc is a medicare enrolled "Podiatrist" provider in Greenvile, North Carolina. Their current practice location is
2140 W Arlington Blvd, Suite D, Greenvile, North Carolina. You can reach out to their office (for appointments etc.) via phone at
(252) 830-1000.
Eastern Carolina Foot An Ankle Specialists, Inc is licensed to practice in North Carolina (license number 485) and it also participates in the medicare program. Eastern Carolina Foot An Ankle Specialists, Inc
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 1073688123.
Healthcare Provider's Profile
| Full Name | Eastern Carolina Foot An Ankle Specialists, Inc |
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| Type | Facility |
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| Speciality | Podiatrist |
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| Location | 2140 W Arlington Blvd, Greenvile, North Carolina |
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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: 1073688123
- Provider Enumeration Date: 11/22/2006
- Last Update Date: 04/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 7315912631
- Enrollment ID: O20040831000508
Medical Identifiers
Medical identifiers for Eastern Carolina Foot An Ankle Specialists, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073688123 | NPI | - | NPPES |
| 0182Y | Other | NC | BCBSNC |
| 890182Y | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 361 (North Carolina) | Secondary |
| 213E00000X | Podiatrist | 435 (North Carolina) | Secondary |
| 213E00000X | Podiatrist | 485 (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Eastern Carolina Foot An Ankle Specialists, Inc acts as a billing entity for following providers:
| Provider Name | Kenneth Y Rosenthal |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1790773406
PECOS PAC ID: 3173585106
Enrollment ID: I20041101001044 |
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| Provider Name | Jonathan Carl O Quinn |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1811948607
PECOS PAC ID: 1456394972
Enrollment ID: I20050606001107 |
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| Provider Name | Christopher J Gauland |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1427040153
PECOS PAC ID: 5395710610
Enrollment ID: I20100309000810 |
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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. Eastern Carolina Foot An Ankle Specialists, Inc 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 |
|---|
Eastern Carolina Foot An Ankle Specialists, Inc
2140 W Arlington Blvd Ste D,
Greenville, NC 27834-5709
Ph: (252) 830-1000 | Eastern Carolina Foot An Ankle Specialists, Inc
2140 W Arlington Blvd, Suite D,
Greenvile, NC 27834
Ph: (252) 830-1000 |
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