| Fleetwood Foot And Ankle Center | |
|
12 Lenhart Rd, Fleetwood, PA 19522-8613 | |
| (610) 944-6537 | |
| (610) 944-8152 |
| Full Name | Fleetwood Foot And Ankle Center |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 12 Lenhart Rd, Fleetwood, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598776833 | NPI | - | NPPES |
| 02340700 | Other | PA | CAPITAL BLUE CMS |
| 1016356050001 | Medicaid | PA | |
| 02340700 | Other | PA | BC |
| 1602963 | Other | PA | BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (Pennsylvania) | Primary |
| Provider Name | Clayton Rhine Smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306893730 PECOS PAC ID: 1850375296 Enrollment ID: I20040615000413 |
| Provider Name | Matthew David Sowa |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578550877 PECOS PAC ID: 4082693478 Enrollment ID: I20040719000833 |
| Mailing Address | Practice Location Address |
|---|---|
| Fleetwood Foot And Ankle Center 12 Lenhart Rd, Po Box 425, Fleetwood, PA 19522-0425 Ph: (610) 944-6537 | Fleetwood Foot And Ankle Center 12 Lenhart Rd, Fleetwood, PA 19522-8613 Ph: (610) 944-6537 |
Clayton Rhine Smith, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12 Lenhart Rd, Fleetwood, PA 19522 Phone: 610-944-6537 Fax: 610-914-8544 | |
Dr. Matthew David Sowa, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12 Lenhart Rd, Fleetwood, PA 19522 Phone: 610-944-6537 Fax: 610-944-8152 |