Mr Thomas Craig Boldry, DPM | |
550 Rush Creek Pkwy, Suite A, Liberty, MO 64068-9608 | |
(816) 455-1155 | |
(816) 455-1161 |
Full Name | Mr Thomas Craig Boldry |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 37 Years |
Location | 550 Rush Creek Pkwy, Liberty, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437159217 | NPI | - | NPPES |
302817903 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 000575 (Missouri) | Primary |
213E00000X | Podiatrist | 12-00227 (Kansas) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Comprehensive Foot Centers, P.a. | 4082661954 | 6 |
Comprehensive Foot Centers, P.a. | 4082661954 | 6 |
Provider Name | Comprehensive Foot Centers, P.a. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316018989 PECOS PAC ID: 4082661954 Enrollment ID: O20050401000938 |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas Craig Boldry, DPM 550 Rush Creek Pkwy, Suite A, Liberty, MO 64068-9608 Ph: (816) 455-1155 | Mr Thomas Craig Boldry, DPM 550 Rush Creek Pkwy, Suite A, Liberty, MO 64068-9608 Ph: (816) 455-1155 |
Comprehensive Foot Centers, P.a. Podiatrist Medicare: Medicare Enrolled Practice Location: 550 Rush Creek Pkwy Ste A, Liberty, MO 64068 Phone: 816-455-1155 | |
Matthew Dean Nielsen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 550 Rush Creek Pkwy, Suite A, Liberty, MO 64068 Phone: 816-455-1155 Fax: 816-455-1161 | |
Mr. Paul Owen Gorby, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 550 Rush Creek Pkwy, Suite A, Liberty, MO 64068 Phone: 816-455-1155 Fax: 816-455-1161 | |
Dare Foot Care Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 2201 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-736-8800 | |
Mrs. Julie Jeanette Jones, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 550 Rush Creek Pkwy, Suite A, Liberty, MO 64068 Phone: 816-455-1155 Fax: 816-455-1161 |