Southeast Podiatry Pc is a medicare enrolled "Podiatrist - Primary Podiatric Medicine" provider in Fairhope, Alabama. Their current practice location is
23937 Us Hwy 98 Ste 1, Fairhope, Alabama. You can reach out to their office (for appointments etc.) via phone at
(251) 928-6768.
Southeast Podiatry Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Southeast Podiatry Pc
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 1467536763.
Healthcare Provider's Profile
| Full Name | Southeast Podiatry Pc |
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| Type | Facility |
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| Speciality | Podiatrist - Primary Podiatric Medicine |
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| Location | 23937 Us Hwy 98 Ste 1, Fairhope, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1467536763
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 11/19/2012
Medicare PECOS Information:
- PECOS PAC ID: 2264402346
- Enrollment ID: O20040727001037
Medical Identifiers
Medical identifiers for Southeast Podiatry Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467536763 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213EP1101X | Podiatrist - Primary Podiatric Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Southeast Podiatry Pc acts as a billing entity for following providers:
| Provider Name | Brent M Harwood |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1609869536
PECOS PAC ID: 6305816489
Enrollment ID: I20040728000118 |
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| Provider Name | Bradford R Egly |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1528174489
PECOS PAC ID: 3274595145
Enrollment ID: I20070227000252 |
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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. Southeast Podiatry Pc 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 |
|---|
Southeast Podiatry Pc
23937 Us Highway 98 Ste 1,
Fairhope, AL 36532
Ph: (251) 928-6768 | Southeast Podiatry Pc
23937 Us Hwy 98 Ste 1,
Fairhope, AL 36532
Ph: (251) 928-6768 |
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