| Northeast Family Foot Care, Pc | |
|
9892 Bustleton Ave, Suite 303, Philadelphia, PA 19115-2184 | |
| (215) 673-3200 | |
| (215) 673-3884 |
| Full Name | Northeast Family Foot Care, Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 9892 Bustleton Ave, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174739940 | NPI | - | NPPES |
| GOO1124200 | Other | PA | AMERICHOICE |
| 32994 | Other | PA | HEALTH ANDSENIOR PARTNERS |
| 480034747 | Other | PA | RAILROAD MEDICARE |
| 2018883000 | Other | PA | INDEPENDENCE BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | SC004123-L (Pennsylvania) | Primary |
| Provider Name | Amy B Lustig |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902973407 PECOS PAC ID: 3870631617 Enrollment ID: I20091116000141 |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Family Foot Care, Pc 9892 Bustleton Ave, Suite 303, Philadelphia, PA 19115-2184 Ph: (215) 673-3200 | Northeast Family Foot Care, Pc 9892 Bustleton Ave, Suite 303, Philadelphia, PA 19115-2184 Ph: (215) 673-3200 |
Regina Snow, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-487-4284 | |
Josephine Depalma Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2706 N 5th St, Philadelphia, PA 19133 Phone: 215-425-5060 Fax: 215-483-9679 | |
Ms. Jennifer Chang - Ching Van, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 148 N 8th St, Philadelphia, PA 19107 Phone: 215-777-5808 Fax: 215-777-5825 | |
Dr. Shaun M Latshaw, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8835 Germantown Ave, Philadelphia, PA 19118 Phone: 610-428-2427 | |
Dr. Noah Jan Goldman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7919 Verree Rd, Philadelphia, PA 19111 Phone: 215-742-8383 | |
Dr. Victoria M. Adeniran, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 5800 Ridge Avenue, Philadelphia, PA 19128 Phone: 215-483-9900 | |
Debbie Park, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-483-9900 |