Kanawha Valley Foot And Ankle Associates, Pllc is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in St Albans, West Virginia. Their current practice location is
209 Fourth Ave, St Albans, West Virginia. You can reach out to their office (for appointments etc.) via phone at
(304) 727-9200.
Kanawha Valley Foot And Ankle Associates, Pllc is licensed to practice in West Virginia (license number 00373) and it also participates in the medicare program. Kanawha Valley Foot And Ankle Associates, Pllc
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 1083750335.
Healthcare Provider's Profile
| Full Name | Kanawha Valley Foot And Ankle Associates, Pllc |
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| Type | Facility |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 209 Fourth Ave, St Albans, West Virginia |
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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: 1083750335
- Provider Enumeration Date: 01/30/2007
- Last Update Date: 03/04/2009
Medicare PECOS Information:
- PECOS PAC ID: 4880683440
- Enrollment ID: O20040510000031
Medical Identifiers
Medical identifiers for Kanawha Valley Foot And Ankle Associates, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083750335 | NPI | - | NPPES |
| 3810006007 | Medicaid | WV | |
| 001706456 | Other | WV | MSBCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 00373 (West Virginia) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 00367 (West Virginia) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Kanawha Valley Foot And Ankle Associates, Pllc acts as a billing entity for following providers:
| Provider Name | Stacey Renee Smith |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1437245735
PECOS PAC ID: 8022141845
Enrollment ID: I20100730000600 |
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| Provider Name | Michael Patrick Noto |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1013003318
PECOS PAC ID: 2860481421
Enrollment ID: I20100803000741 |
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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. Kanawha Valley Foot And Ankle Associates, Pllc 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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Kanawha Valley Foot And Ankle Associates, Pllc
209 Fourth Ave,
St Albans, WV 25177-2821
Ph: (304) 727-9200 | Kanawha Valley Foot And Ankle Associates, Pllc
209 Fourth Ave,
St Albans, WV 25177-2821
Ph: (304) 727-9200 |
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