Shore Foot & Ankle is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Berlin, Maryland. Their current practice location is
9956 N Main St, Suite #5, Berlin, Maryland. You can reach out to their office (for appointments etc.) via phone at
(410) 629-0222.
Shore Foot & Ankle is licensed to practice in Maryland (license number 01311) and it also participates in the medicare program. Shore Foot & Ankle
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 1861415200.
Healthcare Provider's Profile
Full Name | Shore Foot & Ankle |
---|
Type | Facility |
---|
Speciality | Podiatrist - Foot & Ankle Surgery |
---|
Location | 9956 N Main St, Berlin, Maryland |
---|
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861415200
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 11/30/2009
Medicare PECOS Information:
- PECOS PAC ID: 5294822433
- Enrollment ID: O20071105000090
Medical Identifiers
Medical identifiers for Shore Foot & Ankle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861415200 | NPI | - | NPPES |
4150953-00 | Medicaid | MD | |
DN7994 | Other | MD | RAIL ROAD MEDICARE GROUP PTAN |
6031730001 | Other | | DME |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 01311 (Maryland) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Shore Foot & Ankle acts as a billing entity for following providers:
Provider Name | David Gannon |
---|
Provider Type | Practitioner - Podiatry |
---|
Provider Identifiers | NPI Number: 1376521492 PECOS PAC ID: 9931296175 Enrollment ID: I20071105000083 |
---|
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. Shore Foot & Ankle 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 |
Shore Foot & Ankle 9956 N Main St, Suite #5, Berlin, MD 21811-1077 Ph: (410) 629-0222 | Shore Foot & Ankle 9956 N Main St, Suite #5, Berlin, MD 21811-1077 Ph: (410) 629-0222 |
Reviews and Comments