Lepoer Podiatry, Inc. is a medicare enrolled "Clinic/center" provider in Providence, Rhode Island. Their current practice location is
1 Randall Sq Ste 408, Providence, Rhode Island. You can reach out to their office (for appointments etc.) via phone at
(401) 453-2000.
Lepoer Podiatry, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Lepoer Podiatry, Inc.
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 1871123372.
Healthcare Provider's Profile
| Full Name | Lepoer Podiatry, Inc. |
|---|
| Type | Facility |
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| Speciality | Clinic/center |
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| Location | 1 Randall Sq Ste 408, Providence, Rhode Island |
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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: 1871123372
- Provider Enumeration Date: 01/23/2020
- Last Update Date: 11/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870920838
- Enrollment ID: O20200304000519
Medical Identifiers
Medical identifiers for Lepoer Podiatry, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871123372 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QP1100X | Clinic/center - Podiatric | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lepoer Podiatry, Inc. acts as a billing entity for following providers:
| Provider Name | Krysia L Lepoer |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1679665111
PECOS PAC ID: 6002900313
Enrollment ID: I20120402000349 |
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| Provider Name | Traci M Bologna-jill |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1346746062
PECOS PAC ID: 0648672808
Enrollment ID: I20210709001948 |
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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. Lepoer Podiatry, Inc. 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 |
|---|
Lepoer Podiatry, Inc.
1 Randall Sq Ste 408,
Providence, RI 02904-7405
Ph: (401) 453-2000 | Lepoer Podiatry, Inc.
1 Randall Sq Ste 408,
Providence, RI 02904-7405
Ph: (401) 453-2000 |
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