Oldham County Foot & Ankle Pllc is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Crestwood, Kentucky. Their current practice location is
6400 Westwind Way, Suite B, Crestwood, Kentucky. You can reach out to their office (for appointments etc.) via phone at
(502) 276-9999.
Oldham County Foot & Ankle Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Oldham County Foot & Ankle Pllc
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 1376969105.
Healthcare Provider's Profile
| Full Name | Oldham County Foot & Ankle Pllc |
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| Type | Facility |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 6400 Westwind Way, Crestwood, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376969105
- Provider Enumeration Date: 03/18/2014
- Last Update Date: 09/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 3577795640
- Enrollment ID: O20140404000588
Medical Identifiers
Medical identifiers for Oldham County Foot & Ankle Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376969105 | NPI | - | NPPES |
| 7100571860 | Other | KY | MEDICAID DME |
| 7100580750 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Oldham County Foot & Ankle Pllc acts as a billing entity for following providers:
| Provider Name | Jasen T Pedersen |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1114182326
PECOS PAC ID: 6507035565
Enrollment ID: I20110808000621 |
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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. Oldham County Foot & Ankle Pllc 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 |
|---|
Oldham County Foot & Ankle Pllc
6400 Westwind Way, Suite B,
Crestwood, KY 40014-6773
Ph: (502) 276-9999 | Oldham County Foot & Ankle Pllc
6400 Westwind Way, Suite B,
Crestwood, KY 40014-6773
Ph: (502) 276-9999 |
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