Jla Senior Footcare Ms Llc is a
Podiatrist - Foot Surgery based in Petal, Mississippi. Jla Senior Footcare Ms Llc is licensed to practice in Mississippi (license number 80205) and their current practice location is
300 Ark Ln, Petal, Mississippi. It can be reached at their office (for appointments etc.) via phone at
(330) 702-0978.
NPI number for Jla Senior Footcare Ms Llc is 1508161597 and their current mailing address is 4870 S Aspen Ct, Canfield, Ohio. Jla Senior Footcare Ms Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1508161597.
Healthcare Provider's Profile
Full Name | Jla Senior Footcare Ms Llc |
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Type | Facility |
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Speciality | Podiatrist - Foot Surgery |
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Location | 300 Ark Ln, Petal, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508161597
- Provider Enumeration Date: 01/21/2011
- Last Update Date: 01/21/2011
Medical Identifiers
Medical identifiers for Jla Senior Footcare Ms Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508161597 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0131X | Podiatrist - Foot Surgery | 80205 (Mississippi) | Primary |
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. Jla Senior Footcare Ms Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jla Senior Footcare Ms Llc 4870 S Aspen Ct, Canfield, OH 44406-8469 Ph: () - | Jla Senior Footcare Ms Llc 300 Ark Ln, Petal, MS 39465-3606 Ph: (330) 702-0978 |
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