Soutwest Podiatry, P.c. | |
680 W Monroe St, Wytheville, VA 24382-2240 | |
(276) 228-2212 | |
(276) 228-7835 |
Full Name | Soutwest Podiatry, P.c. |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 680 W Monroe St, Wytheville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942256490 | NPI | - | NPPES |
101905 | Other | VA | ANTHEM GROUP |
0975940001 | Other | VA | ADMINISTAR FEDERAL |
CI5929 | Other | VA | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 0103000769 (Virginia) | Primary |
Provider Name | Thomas T Tran |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1699887489 PECOS PAC ID: 7113090630 Enrollment ID: I20080716000759 |
Provider Name | Heather B Pearman |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1942263934 PECOS PAC ID: 6103902408 Enrollment ID: I20100105000584 |
Provider Name | Janet E Bechtel |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1548223555 PECOS PAC ID: 1850477159 Enrollment ID: I20100105000628 |
Provider Name | Ted R Johnson |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1073576062 PECOS PAC ID: 7012993108 Enrollment ID: I20100105000668 |
Provider Name | Adam Dicks |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1780047936 PECOS PAC ID: 0042541740 Enrollment ID: I20191010002228 |
Provider Name | Benjamin Green |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1154852085 PECOS PAC ID: 7719257153 Enrollment ID: I20200727002685 |
Provider Name | Brett J. Burton |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1205491578 PECOS PAC ID: 1052794708 Enrollment ID: I20220813000405 |
Provider Name | Sushila Lynn Kabadi |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1023635646 PECOS PAC ID: 5193187078 Enrollment ID: I20230809000978 |
Mailing Address | Practice Location Address |
---|---|
Soutwest Podiatry, P.c. 680 W Monroe St, Wytheville, VA 24382-2240 Ph: (276) 228-2212 | Soutwest Podiatry, P.c. 680 W Monroe St, Wytheville, VA 24382-2240 Ph: (276) 228-2212 |
Dr. Teddy R Johnson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 680 W Monroe St, Wytheville, VA 24382 Phone: 276-228-2212 Fax: 276-228-7835 | |
Brett Burton, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 680 W Monroe St, Wytheville, VA 24382 Phone: 762-282-2122 Fax: 276-228-7835 | |
Dr. Quyen C Soulsby, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 370 Loretto Dr, Wytheville, VA 24382 Phone: 540-588-1130 | |
Dr. Janet E. Bechtel, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 680 W Monroe St, Wytheville, VA 24382 Phone: 276-228-2212 Fax: 276-228-7835 | |
Thomas T Tran, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 680 W. Monroe St, Wytheville, VA 24382 Phone: 276-228-2212 Fax: 276-228-7835 | |
Dr. Heather B Pearman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 680 W Monroe St, Wytheville, VA 24382 Phone: 276-228-2212 Fax: 276-228-7835 |