Lakeside Podiatry, Pllc is a medicare enrolled "Podiatrist" provider in Victor, New York. Their current practice location is
50 Square Dr Ste 1000, Victor, New York. You can reach out to their office (for appointments etc.) via phone at
(585) 433-5040.
Lakeside Podiatry, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Lakeside Podiatry, 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 1174396089.
Healthcare Provider's Profile
| Full Name | Lakeside Podiatry, Pllc |
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| Type | Facility |
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| Speciality | Podiatrist |
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| Location | 50 Square Dr Ste 1000, Victor, New York |
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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: 1174396089
- Provider Enumeration Date: 11/02/2023
- Last Update Date: 11/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214388719
- Enrollment ID: O20240109003403
Medical Identifiers
Medical identifiers for Lakeside Podiatry, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174396089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lakeside Podiatry, Pllc acts as a billing entity for following providers:
| Provider Name | Brian Haselsberger |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1851886527
PECOS PAC ID: 6103165782
Enrollment ID: I20210816003088 |
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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. Lakeside Podiatry, 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 |
|---|
Lakeside Podiatry, Pllc
50 Square Dr Ste 1000,
Victor, NY 14564-1062
Ph: (585) 433-5040 | Lakeside Podiatry, Pllc
50 Square Dr Ste 1000,
Victor, NY 14564-1062
Ph: (585) 433-5040 |
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