| Page Foot And Ankle | |
|
209 Crossroads Pl, Suite 130, Mount Vernon, IL 62864-6545 | |
| (314) 241-9411 | |
| (618) 241-9414 |
| Full Name | Page Foot And Ankle |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 209 Crossroads Pl, Mount Vernon, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437698842 | NPI | - | NPPES |
| 305705824 | Medicaid | MO | |
| 346767581 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 016005192 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Page Foot And Ankle 10430 Page Ave, Saint Louis, MO 63132-1228 Ph: (314) 423-8811 | Page Foot And Ankle 209 Crossroads Pl, Suite 130, Mount Vernon, IL 62864-6545 Ph: (314) 241-9411 |
Tyler Wishau, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864 Phone: 618-899-3900 | |
Thomas H. Nolen, D.p.m., P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 1313 Main St, Mount Vernon, IL 62864 Phone: 618-242-8662 Fax: 618-242-4171 |