| Madison Ravine, DPM | |
|
3405 Kenyon St Ste 502, San Diego, CA 92110-5008 | |
| (619) 225-9601 | |
| Not Available |
| Full Name | Madison Ravine |
|---|---|
| Gender | Female |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 3405 Kenyon St Ste 502, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679102800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 1516 (Massachusetts) | Primary |
| Provider Name | Sports Arena Podiatry Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225004435 PECOS PAC ID: 9537062153 Enrollment ID: O20040130000644 |
| Provider Name | Emergency And Acute Care Medical Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Ravine, DPM 3405 Kenyon St Ste 502, San Diego, CA 92110-5008 Ph: () - | Madison Ravine, DPM 3405 Kenyon St Ste 502, San Diego, CA 92110-5008 Ph: (619) 225-9601 |
Dr. Donald Triolo, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6699 Alvarado Rd, Suite 2201, San Diego, CA 92120 Phone: 619-583-8160 Fax: 619-583-8170 | |
Dr. Anthony Michael Rabaiotti, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 2650 Stockton Rd, San Diego, CA 92106 Phone: 619-524-0087 | |
Dr. Sophie I Liu, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 7297 Ronson Rd Ste H, San Diego, CA 92111 Phone: 858-278-6603 | |
Dr. Arthur Wells Ward, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 35000 Guadalcanal Ave, Mcrd Branch Medical Clinic, San Diego, CA 92140 Phone: 619-524-8313 | |
Joseph Bui, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 5354 University Ave # 2, San Diego, CA 92105 Phone: 619-354-8370 | |
Dr. Jerome Anthony Wisniew, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2306 6th Ave, San Diego, CA 92101 Phone: 619-232-0179 | |
Dr. Roy Phillips Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3670 Clairemont Dr, Suite #7, San Diego, CA 92117 Phone: 858-272-1091 Fax: 866-401-4918 |