Green Mountain Family Podiatry Pc is a
Podiatrist - Foot & Ankle Surgery based in Whitehall, New York. Green Mountain Family Podiatry Pc is licensed to practice in New York (license number 003568) and their current practice location is
212 Broadway, Whitehall, New York. It can be reached at their office (for appointments etc.) via phone at
(518) 499-9264.
NPI number for Green Mountain Family Podiatry Pc is 1407909039 and their current mailing address is 212 Broadway, Whitehall, New York. Green Mountain Family Podiatry Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1407909039.
Healthcare Provider's Profile
Full Name | Green Mountain Family Podiatry Pc |
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Type | Facility |
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Speciality | Podiatrist - Foot & Ankle Surgery |
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Location | 212 Broadway, Whitehall, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407909039
- Provider Enumeration Date: 01/18/2007
- Last Update Date: 06/21/2018
Medical Identifiers
Medical identifiers for Green Mountain Family Podiatry Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407909039 | NPI | - | NPPES |
000470542001 | Other | NY | BLUESHIELD HEALTHNOW |
9659860-99 | Other | NY | GHI |
041210000033 | Other | NY | FIDELIS |
P3899 | Other | NY | EMPIRE BLUE CROSS |
00028868 | Other | VT | BCBS VERMONT |
1005566 | Other | VT | VERMONT MEDICAID |
00810586 | Medicaid | NY | |
59591 | Other | NY | MVP HEALTH CARE |
PAW48 | Other | NY | EMPIRE BLUE CROSS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 003568 (New York) | Primary |
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. Green Mountain Family Podiatry Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Green Mountain Family Podiatry Pc 212 Broadway, Whitehall, NY 12887-1639 Ph: (518) 499-9264 | Green Mountain Family Podiatry Pc 212 Broadway, Whitehall, NY 12887-1639 Ph: (518) 499-9264 |
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