Lighthouse Foot & Ankle Center is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Lighthouse Pt, Florida. Their current practice location is
2100 Ne 36th St, Suite 203, Lighthouse Pt, Florida. You can reach out to their office (for appointments etc.) via phone at
(954) 933-9033.
Lighthouse Foot & Ankle Center is licensed to practice in Florida (license number PO3030) and it also participates in the medicare program. Lighthouse Foot & Ankle Center
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 1508056326.
Healthcare Provider's Profile
| Full Name | Lighthouse Foot & Ankle Center |
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| Type | Facility |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 2100 Ne 36th St, Lighthouse Pt, Florida |
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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: 1508056326
- Provider Enumeration Date: 07/27/2007
- Last Update Date: 07/22/2009
Medicare PECOS Information:
- PECOS PAC ID: 0547221673
- Enrollment ID: O20041022000203
Medical Identifiers
Medical identifiers for Lighthouse Foot & Ankle Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508056326 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO3030 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lighthouse Foot & Ankle Center acts as a billing entity for following providers:
| Provider Name | Collette T D Altilio |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1740251008
PECOS PAC ID: 9436110574
Enrollment ID: I20041025000707 |
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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. Lighthouse Foot & Ankle Center 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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Lighthouse Foot & Ankle Center
Po Box 50163,
Lighthouse Pt, FL 33074-0163
Ph: (954) 933-9033 | Lighthouse Foot & Ankle Center
2100 Ne 36th St, Suite 203,
Lighthouse Pt, FL 33064-7574
Ph: (954) 933-9033 |
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