Foot Specialists Of Greater Cincinnati | |
2865 Chancellor Dr, Suite 205, Crestview Hills, KY 41017-3931 | |
(859) 341-9900 | |
(859) 341-1649 |
Full Name | Foot Specialists Of Greater Cincinnati |
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Type | Facility |
Speciality | Podiatrist - Foot Surgery |
Location | 2865 Chancellor Dr, Crestview Hills, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235152448 | NPI | - | NPPES |
2440449000 | Other | PASSPORT ADVANTAGE | |
4111020001 | Other | PALMETTO | |
80900004 | Medicaid | KY | |
1169438 | Other | PASSPORT HEALTH | |
411020001 | Other | DMEPOS | |
6113170095003 | Other | TRICARE | |
18D2083494 | Other | KY | CLIA |
4111020003 | Other | PALMETTO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0131X | Podiatrist - Foot Surgery | (* (Not Available)) | Primary |
Provider Name | Michael J Grant |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1306940408 PECOS PAC ID: 9739071283 Enrollment ID: I20040329000555 |
Provider Name | Charles M Tirone |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1568476091 PECOS PAC ID: 6204749617 Enrollment ID: I20090416000260 |
Mailing Address | Practice Location Address |
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Foot Specialists Of Greater Cincinnati 2865 Chancellor Dr, Suite 205, Crestview Hills, KY 41017-3931 Ph: (859) 341-9900 | Foot Specialists Of Greater Cincinnati 2865 Chancellor Dr, Suite 205, Crestview Hills, KY 41017-3931 Ph: (859) 341-9900 |
Mr. Michael J Grant, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2865 Chancellor Dr Ste 205, Crestview Hills, KY 41017 Phone: 859-341-9900 Fax: 859-341-1649 | |
Dr. Charles M Tirone, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2865 Chancellor Drive, Suite 205, Crestview Hills, KY 41017 Phone: 859-341-9900 Fax: 859-341-1649 | |
David W Robertson, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2865 Chancellor Dr, Suite 205, Crestview Hills, KY 41017 Phone: 859-341-9900 Fax: 859-341-1649 |