Nature Coast Foot And Ankle Center Llc | |
6254 W Corporate Oaks Dr, Crystal River, FL 34429-8723 | |
(352) 228-4975 | |
(352) 228-4977 |
Full Name | Nature Coast Foot And Ankle Center Llc |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 6254 W Corporate Oaks Dr, Crystal River, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396185526 | NPI | - | NPPES |
004KU | Other | FL | FLORIDA BLUE |
6980350001 | Other | FL | DMEPOS |
009044800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Provider Name | Kenneth P Pritchyk |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1811963473 PECOS PAC ID: 2365626298 Enrollment ID: I20110418000419 |
Mailing Address | Practice Location Address |
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Nature Coast Foot And Ankle Center Llc Po Box 2319, Crystal River, FL 34423-2319 Ph: (352) 228-4975 | Nature Coast Foot And Ankle Center Llc 6254 W Corporate Oaks Dr, Crystal River, FL 34429-8723 Ph: (352) 228-4975 |
Dr. Robert S. Wane, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9030 W Fort Island Trl, Suite #7, Crystal River, FL 34429 Phone: 352-795-2142 Fax: 352-795-3044 | |
Crystal River Foot Care Podiatrist Medicare: Medicare Enrolled Practice Location: 9030 West Fort Island Trail, Suite 7, Crystal River, FL 34429 Phone: 352-795-2142 Fax: 352-795-3044 |