Reboot Podiatry Llc is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Cresskill, New Jersey. Their current practice location is
72 Willis Ave, Cresskill, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(201) 655-3565.
Reboot Podiatry Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Reboot Podiatry Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1265203004.
Healthcare Provider's Profile
Full Name | Reboot Podiatry Llc |
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Type | Facility |
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Speciality | Podiatrist - Foot & Ankle Surgery |
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Location | 72 Willis Ave, Cresskill, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1265203004
- Provider Enumeration Date: 01/10/2024
- Last Update Date: 01/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931645918
- Enrollment ID: O20240725004634
Medical Identifiers
Medical identifiers for Reboot Podiatry Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265203004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Reboot Podiatry Llc acts as a billing entity for following providers:
Provider Name | Alicia Kim |
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Provider Type | Practitioner - Podiatry |
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Provider Identifiers | NPI Number: 1487210308 PECOS PAC ID: 1759760002 Enrollment ID: I20220616003032 |
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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. Reboot Podiatry Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Reboot Podiatry Llc 246b Livingston St Ste 133, Northvale, NJ 07647-1902 Ph: (201) 655-3565 | Reboot Podiatry Llc 72 Willis Ave, Cresskill, NJ 07626-2432 Ph: (201) 655-3565 |
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