Mercer Island Foot And Ankle Clinic Pllc is a medicare enrolled "Podiatrist" provider in Mercer Island, Washington. Their current practice location is
3236 78th Avenue Se, #201, Mercer Island, Washington. You can reach out to their office (for appointments etc.) via phone at
(206) 275-9117.
Mercer Island Foot And Ankle Clinic Pllc is licensed to practice in Washington (license number PO730) and it also participates in the medicare program. Mercer Island Foot And Ankle Clinic 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 1275612483.
Healthcare Provider's Profile
| Full Name | Mercer Island Foot And Ankle Clinic Pllc |
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| Type | Facility |
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| Speciality | Podiatrist |
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| Location | 3236 78th Avenue Se, Mercer Island, Washington |
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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: 1275612483
- Provider Enumeration Date: 11/06/2006
- Last Update Date: 06/16/2008
Medicare PECOS Information:
- PECOS PAC ID: 5193747798
- Enrollment ID: O20051223000113
Medical Identifiers
Medical identifiers for Mercer Island Foot And Ankle Clinic Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275612483 | NPI | - | NPPES |
| DG4542 | Other | WA | RAILROAD MEDICARE |
| 7130693 | Medicaid | WA | |
| 3488AB | Other | WA | REGENCE BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | PO730 (Washington) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Mercer Island Foot And Ankle Clinic Pllc acts as a billing entity for following providers:
| Provider Name | Makram S Abulhosn |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1356524060
PECOS PAC ID: 3072575729
Enrollment ID: I20041103001145 |
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| Provider Name | Aleksey Kozlov |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1851933253
PECOS PAC ID: 2466997580
Enrollment ID: I20240712003978 |
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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. Mercer Island Foot And Ankle Clinic 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 |
|---|
Mercer Island Foot And Ankle Clinic Pllc
3236 78th Avenue Se, #201,
Mercer Island, WA 98040
Ph: (206) 275-9117 | Mercer Island Foot And Ankle Clinic Pllc
3236 78th Avenue Se, #201,
Mercer Island, WA 98040
Ph: (206) 275-9117 |
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