| Irakly Pataraia, DPM | |
|
5762 Sw 60th Ave, Ocala, FL 34474-5677 | |
| (516) 792-0070 | |
| Not Available |
| Full Name | Irakly Pataraia |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 5762 Sw 60th Ave, Ocala, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780051490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 135001129 (Illinois) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO4577 (Florida) | Primary |
| Provider Name | Elite Podiatry Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700374667 PECOS PAC ID: 6204171010 Enrollment ID: O20181226001606 |
| Provider Name | Podiatry Company Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457931610 PECOS PAC ID: 5890103097 Enrollment ID: O20210428002258 |
| Provider Name | Pedirite Medical Fl Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750962023 PECOS PAC ID: 7113336843 Enrollment ID: O20210511000785 |
| Provider Name | Medical Director Services Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20220223002874 |
| Mailing Address | Practice Location Address |
|---|---|
| Irakly Pataraia, DPM 4646 N Marine Dr, Chicago, IL 60640-5759 Ph: (773) 878-8700 | Irakly Pataraia, DPM 5762 Sw 60th Ave, Ocala, FL 34474-5677 Ph: (516) 792-0070 |
Rosa Malnati Dpm Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 150 Se 17th St, Unit # 502, Ocala, FL 34471 Phone: 352-351-5502 Fax: 352-369-5503 | |
Foot And Ankle Center Of Ocala Pa Podiatrist Medicare: Medicare Enrolled Practice Location: 6160 Sw Highway 200, Suite 100, Ocala, FL 34476 Phone: 352-861-1055 Fax: 352-854-6743 | |
Bruce David Wolosky, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8534 Sw Hwy 200, Ocala, FL 34481 Phone: 352-237-2002 Fax: 352-861-3162 | |
Dr. Stephanie Frey, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2760 Se 17th St Ste 102, Ocala, FL 34471 Phone: 352-351-1555 Fax: 352-351-1330 | |
Kathleen N Telusma, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2825 Se 3rd Ct, Ocala, FL 34471 Phone: 352-867-0024 Fax: 352-867-0029 | |
Dr. Seymour Klein, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 5017 Sw 40th Pl, Ocala, FL 34474 Phone: 954-575-3511 |