Family Foot Clinic Llc | |
106 Butler St Ste A, Macon, MO 63552-1629 | |
(660) 385-4464 | |
(660) 385-1449 |
Full Name | Family Foot Clinic Llc |
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Type | Facility |
Speciality | Podiatrist - Primary Podiatric Medicine |
Location | 106 Butler St Ste A, Macon, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336310341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213EP1101X | Podiatrist - Primary Podiatric Medicine | (* (Not Available)) | Primary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
Provider Name | Keith A Beauchamp |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1437150117 PECOS PAC ID: 9830276427 Enrollment ID: I20080407000477 |
Mailing Address | Practice Location Address |
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Family Foot Clinic Llc Po Box 447, Macon, MO 63552-0447 Ph: (660) 385-4464 | Family Foot Clinic Llc 106 Butler St Ste A, Macon, MO 63552-1629 Ph: (660) 385-4464 |
Family Foot Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1501 N Missouri St, Macon, MO 63552 Phone: 660-385-4464 Fax: 660-385-1449 | |
Keith Alan Beauchamp, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 106 Butler St, Suite A, Macon, MO 63552 Phone: 660-385-4464 Fax: 660-385-1449 |