James Edward Broderick, DPM | |
470 S Pearl St, Canandaigua, NY 14424 | |
(585) 394-4070 | |
(585) 394-8563 |
Full Name | James Edward Broderick |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 36 Years |
Location | 470 S Pearl St, Canandaigua, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093726473 | NPI | - | NPPES |
01158323 | Medicaid | NY | |
8110 | Other | NY | ROCHESTER BL SHIELD |
480007845 | Other | NY | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0131X | Podiatrist - Foot Surgery | N004540 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Foot Forward Podiatry Pc | 3971995697 | 24 |
Provider Name | Foot Forward Podiatry Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487314332 PECOS PAC ID: 3971995697 Enrollment ID: O20220110000374 |
Mailing Address | Practice Location Address |
---|---|
James Edward Broderick, DPM 470 S Pearl St, Canandaigua, NY 14424 Ph: (585) 394-4070 | James Edward Broderick, DPM 470 S Pearl St, Canandaigua, NY 14424 Ph: (585) 394-4070 |
James E. Broderick Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 470 S Pearl St, Canandaigua, NY 14424 Phone: 585-394-4070 Fax: 585-394-8563 | |
Dr. Robert J Magiera, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 117 North Main St, Canandaigua, NY 14424 Phone: 585-394-0341 Fax: 585-394-0341 | |
Dr. Ralph Anthony Minervino, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 400 Fort Hill Ave, Podiatry Clinic #129, Canandaigua, NY 14424 Phone: 585-393-8108 Fax: 585-393-8573 | |
Kevin R Hopson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 229 Parrish St Ste 100, Canandaigua, NY 14424 Phone: 585-394-1960 Fax: 585-393-9232 | |
Marcie Marie Struck, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 400 Fort Hill Ave, Canandaigua, NY 14424 Phone: 000-000-0000 |