Jersey Shore Foot And Leg Center Pc is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Bayville, New Jersey. Their current practice location is
355 Route 9, Suite 1, Bayville, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(732) 269-1133.
Jersey Shore Foot And Leg Center Pc is licensed to practice in New Jersey (license number 25MD00154800) and it also participates in the medicare program. Jersey Shore Foot And Leg Center Pc
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 1629022306.
Healthcare Provider's Profile
| Full Name | Jersey Shore Foot And Leg Center Pc |
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| Type | Facility |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 355 Route 9, Bayville, New Jersey |
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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: 1629022306
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 09/27/2012
Medicare PECOS Information:
- PECOS PAC ID: 3971596297
- Enrollment ID: O20040405000378
Medical Identifiers
Medical identifiers for Jersey Shore Foot And Leg Center Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629022306 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 25MD00154800 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Jersey Shore Foot And Leg Center Pc acts as a billing entity for following providers:
| Provider Name | Michael Kachmar |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1366422271
PECOS PAC ID: 4587556857
Enrollment ID: I20040330000241 |
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| Provider Name | Vincent P Delle Grotti |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1477520567
PECOS PAC ID: 9335139617
Enrollment ID: I20040518000127 |
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| Provider Name | John King |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1275721946
PECOS PAC ID: 8426148503
Enrollment ID: I20120203000360 |
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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. Jersey Shore Foot And Leg Center Pc 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 |
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Jersey Shore Foot And Leg Center Pc
355 Route 9, Suite 1,
Bayville, NJ 08721-1292
Ph: (732) 269-1133 | Jersey Shore Foot And Leg Center Pc
355 Route 9, Suite 1,
Bayville, NJ 08721-1292
Ph: (732) 269-1133 |
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