| Easy Stride Pain & Injury Center, Pc | |
|
4014 Lancaster Ave # A, Philadelphia, PA 19104-1712 | |
| (215) 222-2225 | |
| (215) 222-3070 |
| Full Name | Easy Stride Pain & Injury Center, Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 4014 Lancaster Ave # A, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366591596 | NPI | - | NPPES |
| 1073543559 | Other | PA | NPI INDIVIDUAL |
| 0500527 | Medicaid | PA | |
| 1049959 | Other | PA | KEYSTONE MERCY - EASY STR |
| 31700 | Other | PA | KEYSTONE MERCY INDIVIDUAL |
| 0050052704 | Other | PA | AMERICHOICE OF PA INDIVID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC-001795-L (Pennsylvania) | Primary |
| Provider Name | Gregory Bancroft |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073543559 PECOS PAC ID: 6800108671 Enrollment ID: I20150710000630 |
| Mailing Address | Practice Location Address |
|---|---|
| Easy Stride Pain & Injury Center, Pc 4014 Lancaster Ave # A, Philadelphia, PA 19104-1712 Ph: (215) 222-2225 | Easy Stride Pain & Injury Center, Pc 4014 Lancaster Ave # A, Philadelphia, PA 19104-1712 Ph: (215) 222-2225 |
Regina Snow, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-487-4284 | |
Josephine Depalma Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2706 N 5th St, Philadelphia, PA 19133 Phone: 215-425-5060 Fax: 215-483-9679 | |
Ms. Jennifer Chang - Ching Van, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 148 N 8th St, Philadelphia, PA 19107 Phone: 215-777-5808 Fax: 215-777-5825 | |
Dr. Shaun M Latshaw, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8835 Germantown Ave, Philadelphia, PA 19118 Phone: 610-428-2427 | |
Dr. Noah Jan Goldman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7919 Verree Rd, Philadelphia, PA 19111 Phone: 215-742-8383 | |
Dr. Victoria M. Adeniran, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 5800 Ridge Avenue, Philadelphia, PA 19128 Phone: 215-483-9900 | |
Debbie Park, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-483-9900 |