Lakeside Foot Clinic, Pc is a
Podiatrist based in Cornelius, North Carolina. Lakeside Foot Clinic, Pc is licensed to practice in North Carolina (license number 270) and their current practice location is
19453 W Catawba Ave Ste A, Cornelius, North Carolina. It can be reached at their office (for appointments etc.) via phone at
(704) 892-3399.
NPI number for Lakeside Foot Clinic, Pc is 1184884777 and their current mailing address is 19453 W Catawba Ave Ste A, Cornelius, North Carolina. Lakeside Foot Clinic, Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1184884777.
Healthcare Provider's Profile
Full Name | Lakeside Foot Clinic, Pc |
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Type | Facility |
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Speciality | Podiatrist |
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Location | 19453 W Catawba Ave Ste A, Cornelius, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184884777
- Provider Enumeration Date: 06/17/2008
- Last Update Date: 03/23/2015
Medical Identifiers
Medical identifiers for Lakeside Foot Clinic, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184884777 | NPI | - | NPPES |
890816H | Medicaid | NC | |
0816H | Other | NC | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 270 (North Carolina) | 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. Lakeside Foot Clinic, Pc 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 |
Lakeside Foot Clinic, Pc 19453 W Catawba Ave Ste A, Cornelius, NC 28031-4022 Ph: (704) 892-3399 | Lakeside Foot Clinic, Pc 19453 W Catawba Ave Ste A, Cornelius, NC 28031-4022 Ph: (704) 892-3399 |
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