Tajyant Nat Chotechuang, DPM | |
1510 Sw Nancy Way Ste 2, Bend, OR 97702-3256 | |
(541) 385-7129 | |
(541) 385-7138 |
Full Name | Tajyant Nat Chotechuang |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 26 Years |
Location | 1510 Sw Nancy Way Ste 2, Bend, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396757431 | NPI | - | NPPES |
20-2456582 | Other | OR | TAX ID |
865318005 | Other | OR | BLUE CROSS |
181419 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | DP00339 (Oregon) | Primary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | DP00339 (Oregon) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Footcare Llc | 7113968256 | 4 |
Provider Name | Northwest Footcare Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275545311 PECOS PAC ID: 7113968256 Enrollment ID: O20050518001004 |
Mailing Address | Practice Location Address |
---|---|
Tajyant Nat Chotechuang, DPM 1510 Sw Nancy Way Ste 2, Bend, OR 97702-3256 Ph: (541) 385-7129 | Tajyant Nat Chotechuang, DPM 1510 Sw Nancy Way Ste 2, Bend, OR 97702-3256 Ph: (541) 385-7129 |
Brent R. Wendel, Dpm, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 900 Nw Mt Washington Dr Ste 205, Bend, OR 97703 Phone: 541-246-3577 | |
Dr. Amanda Westfall Mccarty, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1693 Sw Chandler Ave, Suite 280, Bend, OR 97702 Phone: 541-385-7129 Fax: 541-385-7138 | |
Northwest Footcare, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1693 Sw Chandler Ave, Ste 280, Bend, OR 97702 Phone: 541-385-7129 Fax: 541-385-7138 | |
Antonia Lynn Mcclune, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-4900 | |
Dr. Laura Schweger Savage, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1506 Ne Williamson Blvd, Bend, OR 97701 Phone: 541-383-3668 Fax: 541-383-4546 | |
Bryan Wilhelm, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1510 Sw Nancy Way Ste 2, Bend, OR 97702 Phone: 541-385-7129 Fax: 541-385-7138 |