| Penndoc Foot & Ankle Center, Llc | |
|
133 Mill St, Bradford, PA 16701-1408 | |
| (814) 362-3668 | |
| (814) 362-0540 |
| Full Name | Penndoc Foot & Ankle Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 133 Mill St, Bradford, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407040025 | NPI | - | NPPES |
| 0012260110001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC003540L (Pennsylvania) | Primary |
| Provider Name | Gary S Smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457368862 PECOS PAC ID: 0840303038 Enrollment ID: I20140204001391 |
| Provider Name | Baraka Senzira |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225393911 PECOS PAC ID: 3274843339 Enrollment ID: I20190717003571 |
| Mailing Address | Practice Location Address |
|---|---|
| Penndoc Foot & Ankle Center, Llc Po Box 40, Bradford, PA 16701-0040 Ph: (814) 362-3668 | Penndoc Foot & Ankle Center, Llc 133 Mill St, Bradford, PA 16701-1408 Ph: (814) 362-3668 |
Raymond J Uscinski, D.p.m. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 35 Congress St, Bradford, PA 16701 Phone: 814-368-8955 Fax: 814-362-6303 | |
Gary S Smith, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 133 Mill St, Bradford, PA 16701 Phone: 814-362-3668 Fax: 814-362-0540 | |
Dr. Edward P Epstein Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 84 Boylston St, Bradford, PA 16701 Phone: 814-362-4104 | |
Dr. Raymond Joseph Uscinski, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 35 Congress St, Bradford, PA 16701 Phone: 814-368-8955 Fax: 814-362-6303 |