| Personal Footcare Llc | |
|
2020 Wakefield Ave, Petersburg, VA 23805-2112 | |
| (804) 732-1211 | |
| (804) 733-5946 |
| Full Name | Personal Footcare Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Primary Podiatric Medicine |
| Location | 2020 Wakefield Ave, Petersburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487613030 | NPI | - | NPPES |
| 30015890910001 | Medicaid | VA | |
| 009331409 | Medicaid | VT | |
| 30015176580001 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 0103000377 (Virginia) | Primary |
| Provider Name | Samuel W Person |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154324879 PECOS PAC ID: 2163587262 Enrollment ID: I20090224000119 |
| Provider Name | Carlos Myers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790210664 PECOS PAC ID: 0042554370 Enrollment ID: I20181127003201 |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Footcare Llc 2020 Wakefield Ave, Petersburg, VA 23805-2112 Ph: (804) 732-1211 | Personal Footcare Llc 2020 Wakefield Ave, Petersburg, VA 23805-2112 Ph: (804) 732-1211 |
Carrie Kincaid-washington, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 119 Central Park, Petersburg, VA 23803 Phone: 804-322-3996 | |
Dr. Samuel Winfred Person, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2020 Wakefield Ave, Petersburg, VA 23805 Phone: 804-732-1211 Fax: 804-733-5946 | |
Dr. Marc Jay Pinsky, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 3333 S Crater Rd, Suite 3e, Petersburg, VA 23805 Phone: 804-732-6000 Fax: 804-861-6885 | |
Commonwealth Foot And Ankle, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3333 S Crater Rd, Petersburg, VA 23805 Phone: 804-732-6000 | |
Dr Marc Jay Pinsky Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3333 S Crater Rd, Suite 3e, Petersburg, VA 23805 Phone: 804-732-6000 Fax: 804-861-6558 | |
Dr. Jeffrey Hall Pinsky, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3333 S Crater Rd, Petersburg, VA 23805 Phone: 804-732-6000 Fax: 804-796-9168 | |
Jsnv Medical Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 601 Old Wagner Rd, Petersburg, VA 23805 Phone: 804-722-3330 Fax: 888-871-5546 |