| Foot & Ankle Clinic Of Central Nebraska Pc | |
|
620 N Diers Ave Ste 100, Grand Island, NE 68803-4985 | |
| (308) 381-0404 | |
| (308) 381-0408 |
| Full Name | Foot & Ankle Clinic Of Central Nebraska Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 620 N Diers Ave Ste 100, Grand Island, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134162910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Kevin J Larsen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568465300 PECOS PAC ID: 1951324490 Enrollment ID: I20060110000992 |
| Provider Name | Jonathan B Wilson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205197878 PECOS PAC ID: 7416104575 Enrollment ID: I20120823000793 |
| Provider Name | Amanda L Walsh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114300670 PECOS PAC ID: 8729343272 Enrollment ID: I20180604001063 |
| Mailing Address | Practice Location Address |
|---|---|
| Foot & Ankle Clinic Of Central Nebraska Pc Po Box 5020, Grand Island, NE 68802-5020 Ph: (308) 381-0404 | Foot & Ankle Clinic Of Central Nebraska Pc 620 N Diers Ave Ste 100, Grand Island, NE 68803-4985 Ph: (308) 381-0404 |
Dr. Jonathan B Wilson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 620 N Diers Ave Ste 100, Grand Island, NE 68803 Phone: 308-381-0404 | |
James E Lewandowski, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 820 W Division St, Grand Island, NE 68801 Phone: 308-381-7262 Fax: 308-381-4672 | |
Dr. Dusty Lynn Broxterman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 620 N Diers Ave Ste 100, Grand Island, NE 68803 Phone: 308-381-0404 | |
Dr. Scot W Bandel, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 729 N Custer Ave, Grand Island, NE 68803 Phone: 308-382-9266 Fax: 308-382-5290 | |
Dr. Corey S. Blackburn, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1932 Aspen Cir Ste A, Grand Island, NE 68803 Phone: 308-646-0077 Fax: 308-646-0317 | |
Prairie Foot & Ankle Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1932 Aspen Cir Ste A, Grand Island, NE 68803 Phone: 308-646-0077 Fax: 308-646-0317 |