| Susquehanna Valley Foot And Ankle Center, Inc | |
|
3120 N Old Trl Ste A, Shamokin Dam, PA 17876-9428 | |
| (570) 374-3668 | |
| (570) 374-7306 |
| Full Name | Susquehanna Valley Foot And Ankle Center, Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 3120 N Old Trl Ste A, Shamokin Dam, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578627626 | NPI | - | NPPES |
| 0015721370004 | Medicaid | PA | |
| 0015896440005 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC004004L (Pennsylvania) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC004206R (Pennsylvania) | Secondary |
| Provider Name | Angelina Colton-slotter |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194709493 PECOS PAC ID: 6204738909 Enrollment ID: I20040123000010 |
| Provider Name | Darla Renee Miller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427032382 PECOS PAC ID: 7810899721 Enrollment ID: I20070607000596 |
| Mailing Address | Practice Location Address |
|---|---|
| Susquehanna Valley Foot And Ankle Center, Inc 3120 N Old Trl Ste A, Shamokin Dam, PA 17876-9428 Ph: (570) 374-3668 | Susquehanna Valley Foot And Ankle Center, Inc 3120 N Old Trl Ste A, Shamokin Dam, PA 17876-9428 Ph: (570) 374-3668 |
Dr. Angelina Marie Colton-slotter, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3120 N Old Trl Ste A, Shamokin Dam, PA 17876 Phone: 570-374-3668 Fax: 570-374-7306 | |
Dr. Darla R Miller, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3120 N Old Trl Ste A, Shamokin Dam, PA 17876 Phone: 570-374-3668 Fax: 570-374-7306 |