| Neal Diabetic Foot And Ankle Center Llc | |
|
W2654 County Road Kk, Appleton, WI 54915 | |
| (920) 830-2221 | |
| (920) 257-2180 |
| Full Name | Neal Diabetic Foot And Ankle Center Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | W2654 County Road Kk, Appleton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154438810 | NPI | - | NPPES |
| 5774600001 | Other | WI | MEDICARE DMERC |
| 43241700 | Medicaid | WI | |
| 913-025 | Other | WI | PODIATRIC MED & SURG LIC. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 913-025 (Wisconsin) | Primary |
| Provider Name | Toni Jo Neal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427073659 PECOS PAC ID: 8224031935 Enrollment ID: I20060818000455 |
| Provider Name | Ann M Lange |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699751479 PECOS PAC ID: 9335147503 Enrollment ID: I20061122000277 |
| Provider Name | Dustin David Riddle |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972617629 PECOS PAC ID: 9638270697 Enrollment ID: I20070720000849 |
| Provider Name | Kelly M Thiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801303557 PECOS PAC ID: 3476818048 Enrollment ID: I20180531002167 |
| Mailing Address | Practice Location Address |
|---|---|
| Neal Diabetic Foot And Ankle Center Llc W2654 County Road Kk, Appleton, WI 54915 Ph: (920) 830-2221 | Neal Diabetic Foot And Ankle Center Llc W2654 County Road Kk, Appleton, WI 54915 Ph: (920) 830-2221 |
Dr. Theresa Lynn Schinke, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1301 E Northland Ave, Ste B, Appleton, WI 54911 Phone: 920-731-1999 Fax: 920-731-3729 | |
Dr. Todd Alan Derksen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1301 E Northland Ave, Ste B, Appleton, WI 54911 Phone: 920-731-1999 Fax: 920-731-3729 | |
Dr. Timothy Kevin Tougas, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1301 E Northland Ave, Suite B, Appleton, WI 54911 Phone: 920-731-1999 Fax: 920-731-3729 | |
Northeast Wisconsin Foot And Ankle Assoc., S.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 1301 E Northland Ave, Ste B, Appleton, WI 54911 Phone: 920-731-1999 Fax: 920-731-3729 | |
Barry Ellis Erdman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2005 S Lake Park Rd, Appleton, WI 54915 Phone: 920-882-9990 Fax: 920-882-9544 | |
Marissa Mcnelly Le, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1301 E Northland Ave Ste B, Appleton, WI 54911 Phone: 207-311-9999 Fax: 920-731-3729 |