Lake Tahoe Podiatry A Professional Podiatric Corporation is a
Podiatrist based in South Lake Tahoe, California. Lake Tahoe Podiatry A Professional Podiatric Corporation is licensed to practice in California (license number E3664) and their current practice location is
2229 Barton Ave, South Lake Tahoe, California. It can be reached at their office (for appointments etc.) via phone at
(530) 541-2665.
NPI number for Lake Tahoe Podiatry A Professional Podiatric Corporation is 1396095881 and their current mailing address is 2229 Barton Ave, South Lake Tahoe, California. Lake Tahoe Podiatry A Professional Podiatric Corporation
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1396095881.
Healthcare Provider's Profile
Full Name | Lake Tahoe Podiatry A Professional Podiatric Corporation |
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Type | Facility |
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Speciality | Podiatrist |
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Location | 2229 Barton Ave, South Lake Tahoe, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396095881
- Provider Enumeration Date: 09/12/2012
- Last Update Date: 01/15/2013
Medical Identifiers
Medical identifiers for Lake Tahoe Podiatry A Professional Podiatric Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396095881 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | E3664 (California) | 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. Lake Tahoe Podiatry A Professional Podiatric Corporation 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 |
Lake Tahoe Podiatry A Professional Podiatric Corporation 2229 Barton Ave, South Lake Tahoe, CA 96150-3411 Ph: (530) 541-2665 | Lake Tahoe Podiatry A Professional Podiatric Corporation 2229 Barton Ave, South Lake Tahoe, CA 96150-3411 Ph: (530) 541-2665 |
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