Thaddeus F. Radziwiecki, D.p.m., P.c. | |
3641 Ridge Rd, Suite 6, Highland, IN 46322-2080 | |
(219) 838-4000 | |
(219) 838-4387 |
Full Name | Thaddeus F. Radziwiecki, D.p.m., P.c. |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 3641 Ridge Rd, Highland, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134163595 | NPI | - | NPPES |
000000080130 | Other | IN | BLUE CROSS & BLUE SHIELD |
480026572 | Other | RAILROAD MEDICARE | |
5622190001 | Other | IN | MEDICARE DMEPOS |
317683484 | Other | CHAMPUS/CHAMPVA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 52000081A (Indiana) | Primary |
Provider Name | Thaddeus Francis Radziwiecki |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1346277597 PECOS PAC ID: 1153599170 Enrollment ID: I20110719000337 |
Mailing Address | Practice Location Address |
---|---|
Thaddeus F. Radziwiecki, D.p.m., P.c. 3641 Ridge Rd, Suite 6, Highland, IN 46322-2080 Ph: (219) 838-4000 | Thaddeus F. Radziwiecki, D.p.m., P.c. 3641 Ridge Rd, Suite 6, Highland, IN 46322-2080 Ph: (219) 838-4000 |
Podiatry Partners Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9105a Indianapolis Blvd Ste 102, Highland, IN 46322 Phone: 219-923-9090 Fax: 219-923-9147 | |
Dr. Thaddeus F Radziwiecki, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3641 Ridge Rd, Suite 6, Highland, IN 46322 Phone: 219-838-4000 Fax: 219-838-4387 | |
Gary J. Thomas, Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9007 Indianapolis Blvd, Suite B, Highland, IN 46322 Phone: 219-923-1254 Fax: 708-429-5981 | |
Dr. George V. Tsoutsouris, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 9105a Indianapolis Blvd, Suite 102, Highland, IN 46322 Phone: 219-923-9090 Fax: 219-923-9147 |