Greenwood Leflore Foot Center is a medicare enrolled "Podiatrist" provider in Greenwood, Mississippi. Their current practice location is
309 W Church St, Greenwood, Mississippi. You can reach out to their office (for appointments etc.) via phone at
(662) 453-9004.
Greenwood Leflore Foot Center is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Greenwood Leflore Foot Center
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 1962471417.
Healthcare Provider's Profile
| Full Name | Greenwood Leflore Foot Center |
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| Type | Facility |
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| Speciality | Podiatrist |
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| Location | 309 W Church St, Greenwood, Mississippi |
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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: 1962471417
- Provider Enumeration Date: 03/16/2006
- Last Update Date: 05/07/2018
Medicare PECOS Information:
- PECOS PAC ID: 6305943028
- Enrollment ID: O20070515000126
Medical Identifiers
Medical identifiers for Greenwood Leflore Foot Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962471417 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Greenwood Leflore Foot Center acts as a billing entity for following providers:
| Provider Name | Preston Boles |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1699734855
PECOS PAC ID: 8224038906
Enrollment ID: I20070515000154 |
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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. Greenwood Leflore Foot Center 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 |
|---|
Greenwood Leflore Foot Center
Po Box 1410,
Greenwood, MS 38935-1410
Ph: (662) 453-9004 | Greenwood Leflore Foot Center
309 W Church St,
Greenwood, MS 38930-4305
Ph: (662) 453-9004 |
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