Foot Doctor Llc is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Ashton, Idaho. Their current practice location is
808 Fremont St, Ashton, Idaho. You can reach out to their office (for appointments etc.) via phone at
(307) 359-9566.
Foot Doctor Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Foot Doctor Llc
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 1700665775.
Healthcare Provider's Profile
Full Name | Foot Doctor Llc |
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Type | Facility |
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Speciality | Podiatrist - Foot & Ankle Surgery |
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Location | 808 Fremont St, Ashton, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700665775
- Provider Enumeration Date: 09/27/2023
- Last Update Date: 09/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 5597111955
- Enrollment ID: O20231023000315
Medical Identifiers
Medical identifiers for Foot Doctor Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700665775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
310400000X | Assisted Living Facility | (* (Not Available)) | Secondary |
314000000X | Skilled Nursing Facility | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Foot Doctor Llc acts as a billing entity for following providers:
Provider Name | Travis G Marshall |
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Provider Type | Practitioner - Podiatry |
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Provider Identifiers | NPI Number: 1992020432 PECOS PAC ID: 6901058262 Enrollment ID: I20231023000394 |
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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 Doctor Llc 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 Doctor Llc Po Box 804, Ashton, ID 83420-0804 Ph: (307) 359-9566 | Foot Doctor Llc 808 Fremont St, Ashton, ID 83420-1210 Ph: (307) 359-9566 |
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