Moberly Foot Clinic is a medicare enrolled "Podiatrist" provider in Moberly, Missouri. Their current practice location is
1513 Union Ave, Suite 1400, Moberly, Missouri. You can reach out to their office (for appointments etc.) via phone at
(660) 263-6688.
Moberly Foot Clinic is licensed to practice in Illinois (license number 016004851) and it also participates in the medicare program. Moberly Foot Clinic
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 1154341592.
Healthcare Provider's Profile
| Full Name | Moberly Foot Clinic |
|---|
| Type | Facility |
|---|
| Speciality | Podiatrist |
|---|
| Location | 1513 Union Ave, Moberly, Missouri |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1154341592
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 04/20/2008
Medicare PECOS Information:
- PECOS PAC ID: 3375540057
- Enrollment ID: O20061108000419
Medical Identifiers
Medical identifiers for Moberly Foot Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154341592 | NPI | - | NPPES |
| P0038451 | Other | MO | RAILROAD MEDICARE |
| 154392 | Other | MO | BCBS |
| 5502300001 | Other | MO | MEDICARE DMERC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 016004851 (Illinois) | Primary |
| 213E00000X | Podiatrist | 2002006341 (Missouri) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Moberly Foot Clinic acts as a billing entity for following providers:
| Provider Name | Jonathon L Fallis |
|---|
| Provider Type | Practitioner - Podiatry |
|---|
| Provider Identifiers | NPI Number: 1659391084
PECOS PAC ID: 1355398884
Enrollment ID: I20050708000463 |
|---|
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. Moberly Foot Clinic 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 |
|---|
Moberly Foot Clinic
1513 Union Ave, Suite 1400,
Moberly, MO 65270
Ph: (660) 263-6677 | Moberly Foot Clinic
1513 Union Ave, Suite 1400,
Moberly, MO 65270
Ph: (660) 263-6688 |
Reviews and Comments