| Riverside Podiatry Clinic, Inc. | |
|
1900 W Kem Rd, Marion, IN 46952-1548 | |
| (765) 664-0107 | |
| (765) 664-6541 |
| Full Name | Riverside Podiatry Clinic, Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1900 W Kem Rd, Marion, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780605055 | NPI | - | NPPES |
| DR6511 | Other | IN | RR MEDICARE |
| 000000083983 | Other | IN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 07000307 (Indiana) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Podiatry Clinic, Inc. 1900 W Kem Rd, Marion, IN 46952-1548 Ph: (765) 664-0107 | Riverside Podiatry Clinic, Inc. 1900 W Kem Rd, Marion, IN 46952-1548 Ph: (765) 664-0107 |
Dr. Jason D Gray, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 330 N Wabash Ave Ste 460a, Marion, IN 46952 Phone: 765-664-1413 Fax: 765-664-2836 | |
Dr. Deborah Lynn Underwood, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 1700 E 38th St, 112p, Marion, IN 46953 Phone: 765-674-3321 | |
Dr. Gary Lynn Adsit, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1900 W Kem Rd, Marion, IN 46952 Phone: 765-664-0107 Fax: 765-664-6541 | |