Peninsula Podiatry Llc | |
Bldg 4 2, 30 North 18th Avenue, Sturgeon Bay, WI 54235-3207 | |
(920) 743-6668 | |
(920) 743-9222 |
Full Name | Peninsula Podiatry Llc |
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Type | Facility |
Speciality | Podiatrist |
Location | Bldg 4 2, Sturgeon Bay, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255425088 | NPI | - | NPPES |
43267300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (Wisconsin) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (Wisconsin) | Secondary |
Provider Name | Bradley Gerard Burkart |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1528281862 PECOS PAC ID: 5597715672 Enrollment ID: I20050127000285 |
Mailing Address | Practice Location Address |
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Peninsula Podiatry Llc Bldg 4 2, 30 North 18th Avenue, Sturgeon Bay, WI 54235-3207 Ph: (920) 743-6668 | Peninsula Podiatry Llc Bldg 4 2, 30 North 18th Avenue, Sturgeon Bay, WI 54235-3207 Ph: (920) 743-6668 |
Dr. Bradley Gerard Burkart, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: Bldg 4 2, 30 North 18th Avenue, Sturgeon Bay, WI 54235 Phone: 920-743-6668 | |
Ellen Cynthia Barton, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235 Phone: 920-746-0510 |