Highland Park Podiatry,pc | |
8011 W Chester Pike, Upper Darby, PA 19082-1317 | |
(610) 449-2345 | |
(610) 449-2577 |
Full Name | Highland Park Podiatry,pc |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 8011 W Chester Pike, Upper Darby, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851405757 | NPI | - | NPPES |
170112 | Other | PA | BLUE CROSS/BLUE SHIELD |
0148848104 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Grace Anne Kuzara |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1114968955 PECOS PAC ID: 0244298990 Enrollment ID: I20041228000389 |
Provider Name | Michael J Cherella |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1235150020 PECOS PAC ID: 3072531037 Enrollment ID: I20090820000097 |
Provider Name | Andrew Bradford Peacock |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1851730063 PECOS PAC ID: 2163794470 Enrollment ID: I20170822001880 |
Provider Name | Kyle Shaw |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1710410899 PECOS PAC ID: 0446674683 Enrollment ID: I20200810002981 |
Mailing Address | Practice Location Address |
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Highland Park Podiatry,pc 8011 W Chester Pike, Upper Darby, PA 19082-1317 Ph: (610) 449-2345 | Highland Park Podiatry,pc 8011 W Chester Pike, Upper Darby, PA 19082-1317 Ph: (610) 449-2345 |
Dr. Ronald Lee Smith, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7125 Hilltop Rd, Upper Darby, PA 19082 Phone: 610-352-3373 Fax: 610-352-3488 | |
Kyle Shaw, Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 8011 W Chester Pike, Upper Darby, PA 19082 Phone: 610-449-2345 Fax: 610-449-2577 |