Habersham Podiatry is a medicare enrolled "Podiatrist" provider in Cornelia, Georgia. Their current practice location is
134b Market Corners Dr, Cornelia, Georgia. You can reach out to their office (for appointments etc.) via phone at
(706) 776-3132.
Habersham Podiatry is licensed to practice in Georgia (license number 000902) and it also participates in the medicare program. Habersham Podiatry
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 1093993735.
Healthcare Provider's Profile
Full Name | Habersham Podiatry |
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Type | Facility |
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Speciality | Podiatrist |
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Location | 134b Market Corners Dr, Cornelia, Georgia |
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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: 1093993735
- Provider Enumeration Date: 02/05/2008
- Last Update Date: 05/11/2011
Medicare PECOS Information:
- PECOS PAC ID: 8729151980
- Enrollment ID: O20080721000667
Medical Identifiers
Medical identifiers for Habersham Podiatry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093993735 | NPI | - | NPPES |
DN6573 | Other | GA | RAILROAD MEDICARE |
00871934C | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 000902 (Georgia) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | 4624980001 (Georgia) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Habersham Podiatry acts as a billing entity for following providers:
Provider Name | Jana M Rose |
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Provider Type | Practitioner - Podiatry |
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Provider Identifiers | NPI Number: 1063438745 PECOS PAC ID: 7012995228 Enrollment ID: I20040716000773 |
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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. Habersham Podiatry 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 |
Habersham Podiatry Po Box 191, Cornelia, GA 30531-0191 Ph: (706) 776-3132 | Habersham Podiatry 134b Market Corners Dr, Cornelia, GA 30531-5766 Ph: (706) 776-3132 |
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