Northwest Foot And Ankle Specialists, Llc is a medicare enrolled "Podiatrist" provider in Bothell, Washington. Their current practice location is
12900 Ne 180th St Ste 150, Bothell, Washington. You can reach out to their office (for appointments etc.) via phone at
(206) 365-5484.
Northwest Foot And Ankle Specialists, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Northwest Foot And Ankle Specialists, Llc
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 1790337194.
Healthcare Provider's Profile
Full Name | Northwest Foot And Ankle Specialists, Llc |
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Type | Facility |
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Speciality | Podiatrist |
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Location | 12900 Ne 180th St Ste 150, Bothell, Washington |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790337194
- Provider Enumeration Date: 07/15/2019
- Last Update Date: 09/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 5597198390
- Enrollment ID: O20191210000343
Medical Identifiers
Medical identifiers for Northwest Foot And Ankle Specialists, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790337194 | NPI | - | NPPES |
1205932191 | Other | WA | PROVIDER NPI |
1106699 | Medicaid | WA | |
1043268 | Medicaid | WA | |
5815682 | Other | WA | AETNA |
HA0967 | Other | WA | REGENCE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Northwest Foot And Ankle Specialists, Llc acts as a billing entity for following providers:
Provider Name | Kelly Jean Hall |
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Provider Type | Practitioner - Podiatry |
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Provider Identifiers | NPI Number: 1205932191 PECOS PAC ID: 9436275518 Enrollment ID: I20100927000271 |
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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. Northwest Foot And Ankle Specialists, Llc 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 |
Northwest Foot And Ankle Specialists, Llc 12900 Ne 180th St, Ste 150, Bothell, WA 98011 Ph: (206) 365-5484 | Northwest Foot And Ankle Specialists, Llc 12900 Ne 180th St Ste 150, Bothell, WA 98011-5778 Ph: (206) 365-5484 |
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