Portage Podiatry is a
Podiatrist based in Portage, Pennsylvania. Portage Podiatry is licensed to practice in Pennsylvania (license number SC004705L) and their current practice location is
220 Main St Ste 100, Portage, Pennsylvania. It can be reached at their office (for appointments etc.) via phone at
(814) 736-5000.
NPI number for Portage Podiatry is 1659559599 and their current mailing address is 220 Main St Ste 100, Portage, Pennsylvania. Portage Podiatry
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1659559599.
Healthcare Provider's Profile
Full Name | Portage Podiatry |
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Type | Facility |
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Speciality | Podiatrist |
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Location | 220 Main St Ste 100, Portage, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659559599
- Provider Enumeration Date: 02/01/2008
- Last Update Date: 02/01/2008
Medical Identifiers
Medical identifiers for Portage Podiatry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659559599 | NPI | - | NPPES |
043195 | Other | PA | UMWA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | SC004705L (Pennsylvania) | 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. Portage Podiatry 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 |
Portage Podiatry 220 Main St Ste 100, Portage, PA 15946-1119 Ph: (814) 736-5000 | Portage Podiatry 220 Main St Ste 100, Portage, PA 15946-1119 Ph: (814) 736-5000 |
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