| Premier Foot And Ankle, L.l.c. | |
|
3149 N Windsong Dr, Prescott Valley, AZ 86314-2240 | |
| (928) 772-5916 | |
| (928) 775-3250 |
| Full Name | Premier Foot And Ankle, L.l.c. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 3149 N Windsong Dr, Prescott Valley, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275630451 | NPI | - | NPPES |
| P00198294 | Other | AZ | RAIL ROAD MEDICARE |
| DC9191 | Other | AZ | RAIL RD MEDICARE |
| 711144001 | Medicaid | AZ | |
| 711144002 | Medicaid | AZ | |
| AZ0195490 | Other | AZ | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 0564 (Arizona) | Primary |
| Provider Name | Scott R Price |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417067455 PECOS PAC ID: 6406769744 Enrollment ID: I20050107000804 |
| Provider Name | Brian M Rex |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447665716 PECOS PAC ID: 4880953967 Enrollment ID: I20180117003058 |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Foot And Ankle, L.l.c. Po Box 26488, Prescott Valley, AZ 86312-6488 Ph: (928) 772-5916 | Premier Foot And Ankle, L.l.c. 3149 N Windsong Dr, Prescott Valley, AZ 86314-2240 Ph: (928) 772-5916 |
Scott R Price, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3149 N Windsong Dr, Prescott Valley, AZ 86314 Phone: 928-772-5916 Fax: 928-775-3250 | |
John D Marin, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 7156 E Grass Land Dr, Prescott Valley, AZ 86314 Phone: 928-772-7450 Fax: 928-772-7450 | |
Dr. Brian Max Rex, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3149 N Windsong Dr, Prescott Valley, AZ 86314 Phone: 480-616-0676 Fax: 480-546-5369 | |
Tosha A Larios, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3198 N Windsong Dr, Prescott Valley, AZ 86314 Phone: 928-925-7194 |