Fox Lake Foot Care Ltd is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Ingleside, Illinois. Their current practice location is
214 Washington St, Suite #3, Ingleside, Illinois. You can reach out to their office (for appointments etc.) via phone at
(847) 587-3221.
Fox Lake Foot Care Ltd is licensed to practice in Illinois (license number 016003998) and it also participates in the medicare program. Fox Lake Foot Care Ltd
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 1699053967.
Healthcare Provider's Profile
Full Name | Fox Lake Foot Care Ltd |
---|
Type | Facility |
---|
Speciality | Podiatrist - Foot & Ankle Surgery |
---|
Location | 214 Washington St, Ingleside, Illinois |
---|
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699053967
- Provider Enumeration Date: 08/03/2011
- Last Update Date: 08/03/2011
Medicare PECOS Information:
- PECOS PAC ID: 9739358656
- Enrollment ID: O20110811000072
Medical Identifiers
Medical identifiers for Fox Lake Foot Care Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699053967 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 016003998 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Fox Lake Foot Care Ltd acts as a billing entity for following providers:
Provider Name | Tegan A Thimesch |
---|
Provider Type | Practitioner - Podiatry |
---|
Provider Identifiers | NPI Number: 1376511287 PECOS PAC ID: 2961552476 Enrollment ID: I20090603000679 |
---|
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. Fox Lake Foot Care Ltd 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 |
Fox Lake Foot Care Ltd 214 Washington St, Suite #3, Ingleside, IL 60041-9208 Ph: (847) 587-3221 | Fox Lake Foot Care Ltd 214 Washington St, Suite #3, Ingleside, IL 60041-9208 Ph: (847) 587-3221 |
Reviews and Comments