Mickenbergs Ambulatory Foot Care Pa | |
8094 Edwin Raynor Blvd, Ste C, Pasadena, MD 21122-6834 | |
(410) 255-0040 | |
(410) 360-4955 |
Full Name | Mickenbergs Ambulatory Foot Care Pa |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 8094 Edwin Raynor Blvd, Pasadena, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386822104 | NPI | - | NPPES |
1338463 | Other | CIGNA | |
1386822104 | Other | COVENTRY | |
1386822104 | Other | MAMSI | |
1386822104 | Other | ALLIANCE | |
T276 | Other | MD | CAREFIRST |
1386822104 | Other | FIRST HEALTH | |
1386822104 | Other | FIDELITY | |
1386822104 | Other | EHP | |
217484 | Other | MDIPA/OPTIMUM CHOICE | |
062308307 | Medicaid | MD | |
1386822104 | Other | EMPLOYER HEALTH INSURANCE | |
480012800 | Other | RAILROAD MEDICARE | |
B765 001 | Other | CAREFIRST FEDERAL EMPLOYEE PROGRAM | |
1386822104 | Other | TRICARE | |
1386822104 | Other | UNITED HEALTHCARE | |
T765 | Other | MD | BLUE CHOICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 01053 (Maryland) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | 01053 (Maryland) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mickenbergs Ambulatory Foot Care Pa 8094 Edwin Raynor Blvd, Ste C, Pasadena, MD 21122-6834 Ph: (410) 255-0040 | Mickenbergs Ambulatory Foot Care Pa 8094 Edwin Raynor Blvd, Ste C, Pasadena, MD 21122-6834 Ph: (410) 255-0040 |