| Melbourne Podiatry Associates | |
|
1515 Dr Martin Luther King Jr Blvd, Melbourne, FL 32901-2946 | |
| (321) 723-3500 | |
| (321) 723-1945 |
| Full Name | Melbourne Podiatry Associates |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1515 Dr Martin Luther King Jr Blvd, Melbourne, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174506877 | NPI | - | NPPES |
| 72224 | Other | FL | BCBS |
| 041009800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Richard C Wilson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972587350 PECOS PAC ID: 9537246418 Enrollment ID: I20101012001361 |
| Provider Name | Jared Briant Moyles |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457589244 PECOS PAC ID: 9436305729 Enrollment ID: I20120801000527 |
| Provider Name | Jessica A Wilson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558701243 PECOS PAC ID: 2062711104 Enrollment ID: I20160628002722 |
| Provider Name | Thomas C Wilson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184064834 PECOS PAC ID: 3476844044 Enrollment ID: I20160629001261 |
| Mailing Address | Practice Location Address |
|---|---|
| Melbourne Podiatry Associates 1515 Dr Martin Luther King Jr Blvd, Melbourne, FL 32901-2946 Ph: (321) 723-3500 | Melbourne Podiatry Associates 1515 Dr Martin Luther King Jr Blvd, Melbourne, FL 32901-2946 Ph: (321) 723-3500 |
Gaithe Stcyr, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 | |
Brian J Mallette Dpm Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 200 S Harbor City Blvd, Suite302, Melbourne, FL 32901 Phone: 321-728-0117 Fax: 321-728-0151 | |
Foot And Ankle Associates Of Brevard Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4020 Fair Point Ln, Melbourne, FL 32934 Phone: 321-960-9040 | |
Claudia R Mallette Dpm Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1555 W Nasa Blvd, Melbourne, FL 32901 Phone: 321-728-0117 Fax: 321-728-0151 | |
Dr. Thomas Charles Wilson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1515 Dr Martin Luther King Jr Blvd, Melbourne, FL 32901 Phone: 321-723-3500 Fax: 321-723-1945 | |
Melbourne Podiatry Associates Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1310 W Eau Gallie Blvd, Suite E, Melbourne, FL 32935 Phone: 321-255-3338 Fax: 321-253-9643 |