Summit Foot And Ankle is a medicare enrolled "Clinic/center - Podiatric" provider in Atlanta, Georgia. Their current practice location is
505 Fairburn Rd Sw Ste 100, Atlanta, Georgia. You can reach out to their office (for appointments etc.) via phone at
(404) 618-6077.
Summit Foot And Ankle is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Summit Foot And Ankle
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 1639769672.
Healthcare Provider's Profile
| Full Name | Summit Foot And Ankle |
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| Type | Facility |
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| Speciality | Clinic/center - Podiatric |
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| Location | 505 Fairburn Rd Sw Ste 100, Atlanta, Georgia |
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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: 1639769672
- Provider Enumeration Date: 01/23/2021
- Last Update Date: 09/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062778160
- Enrollment ID: O20210129000469
Medical Identifiers
Medical identifiers for Summit Foot And Ankle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639769672 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | (* (Not Available)) | Secondary |
| 213ER0200X | Podiatrist - Radiology | (* (Not Available)) | Secondary |
| 213ES0000X | Podiatrist - Sports Medicine | (* (Not Available)) | Secondary |
| 213ES0131X | Podiatrist - Foot Surgery | (* (Not Available)) | Secondary |
| 261QP1100X | Clinic/center - Podiatric | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Summit Foot And Ankle acts as a billing entity for following providers:
| Provider Name | Ryan Scott Ellsworth |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1104130574
PECOS PAC ID: 3678719135
Enrollment ID: I20210203002196 |
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| Provider Name | Paris M Payton |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1487174561
PECOS PAC ID: 2668874090
Enrollment ID: I20210708000399 |
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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. Summit Foot And Ankle 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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Summit Foot And Ankle
9980 S 300 W Ste 300,
Sandy, UT 84070-3654
Ph: (801) 253-6886 | Summit Foot And Ankle
505 Fairburn Rd Sw Ste 100,
Atlanta, GA 30331-2012
Ph: (404) 618-6077 |
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