Peacock Foot Clinic Pc is a
Podiatrist - Foot Surgery based in Whiteville, North Carolina. Peacock Foot Clinic Pc is licensed to practice in North Carolina (license number 382) and their current practice location is
325 Jefferson St, Whiteville, North Carolina. It can be reached at their office (for appointments etc.) via phone at
(910) 642-7768.
NPI number for Peacock Foot Clinic Pc is 1770618183 and their current mailing address is 325 Jefferson St, Whiteville, North Carolina. Peacock Foot Clinic Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1770618183.
Healthcare Provider's Profile
| Full Name | Peacock Foot Clinic Pc |
|---|
| Type | Facility |
|---|
| Speciality | Podiatrist - Foot Surgery |
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| Location | 325 Jefferson St, Whiteville, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1770618183
- Provider Enumeration Date: 02/23/2007
- Last Update Date: 12/12/2019
Medical Identifiers
Medical identifiers for Peacock Foot Clinic Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770618183 | NPI | - | NPPES |
| 08003 | Other | NC | BCBS NC |
| 8908003 | Medicaid | NC | |
| P00060043 | Other | NC | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0131X | Podiatrist - Foot Surgery | 382 (North Carolina) | Primary |
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. Peacock Foot Clinic Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Peacock Foot Clinic Pc
325 Jefferson St,
Whiteville, NC 28472-3601
Ph: (910) 642-7768 | Peacock Foot Clinic Pc
325 Jefferson St,
Whiteville, NC 28472-3601
Ph: (910) 642-7768 |
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