Foot & Ankle Clinic Of South Boston Pc is a medicare enrolled "Podiatrist" provider in South Boston, Virginia. Their current practice location is
405 A Oak Lane, South Boston, Virginia. You can reach out to their office (for appointments etc.) via phone at
(434) 572-1444.
Foot & Ankle Clinic Of South Boston Pc is licensed to practice in Virginia (license number 0103000792) and it also participates in the medicare program. Foot & Ankle Clinic Of South Boston Pc
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 1750323101.
Healthcare Provider's Profile
| Full Name | Foot & Ankle Clinic Of South Boston Pc |
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| Type | Facility |
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| Speciality | Podiatrist |
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| Location | 405 A Oak Lane, South Boston, Virginia |
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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: 1750323101
- Provider Enumeration Date: 06/11/2006
- Last Update Date: 11/12/2014
Medicare PECOS Information:
- PECOS PAC ID: 6608069570
- Enrollment ID: O20101023000181
Medical Identifiers
Medical identifiers for Foot & Ankle Clinic Of South Boston Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750323101 | NPI | - | NPPES |
| 480021195 | Other | | RAILROAD |
| VAA102502 | Other | VA | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 0103000792 (Virginia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Foot & Ankle Clinic Of South Boston Pc acts as a billing entity for following providers:
| Provider Name | Michael Alan Marvin |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1902821606
PECOS PAC ID: 7416140389
Enrollment ID: I20101105000515 |
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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. Foot & Ankle Clinic Of South Boston Pc 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 |
|---|
Foot & Ankle Clinic Of South Boston Pc
405 A Oak Lane,
South Boston, VA 24592-1633
Ph: (434) 572-1444 | Foot & Ankle Clinic Of South Boston Pc
405 A Oak Lane,
South Boston, VA 24592
Ph: (434) 572-1444 |
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