| Tidewater Foot & Ankle Center, Pc | |
|
760 Independence Blvd, Virginia Beach, VA 23455-6206 | |
| (757) 497-7575 | |
| Not Available |
| Full Name | Tidewater Foot & Ankle Center, Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 760 Independence Blvd, Virginia Beach, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497813158 | NPI | - | NPPES |
| 480000051 | Other | VA | MEDICARE ID |
| 9301658 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | William P Grant |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982706685 PECOS PAC ID: 9234288796 Enrollment ID: I20111219000615 |
| Provider Name | Lisa M Grant-mcdonald |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831509942 PECOS PAC ID: 7517243892 Enrollment ID: I20180604002623 |
| Provider Name | Zab'di Sanchez Prada |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295364404 PECOS PAC ID: 9931569068 Enrollment ID: I20230720001369 |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Foot & Ankle Center, Pc Po Box 55350, Virginia Beach, VA 23471-9350 Ph: (757) 497-7575 | Tidewater Foot & Ankle Center, Pc 760 Independence Blvd, Virginia Beach, VA 23455-6206 Ph: (757) 497-7575 |
Mr. Jay I Tischler, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1080 First Colonial Rd, Ste 400, Virginia Beach, VA 23454 Phone: 757-395-1880 Fax: 757-431-7770 | |
Sara Zelinskas I, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 100 Constitution Dr, 217, Virginia Beach, VA 23462 Phone: 757-963-1488 Fax: 757-763-6350 | |
Norfolk Foot And Ankle Group Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 4224 Holland Rd, Suite 106, Virginia Beach, VA 23452 Phone: 757-498-0202 Fax: 757-498-7936 | |
Tidewater Podiatry Group Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 996 First Colonial Rd, Virginia Beach, VA 23454 Phone: 757-481-6248 Fax: 757-481-6523 | |
Adam Bills, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4224 Holland Rd, Suite 106, Virginia Beach, VA 23452 Phone: 757-498-0202 Fax: 757-498-7936 | |
Robert W Sullivan Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1700 Pleasure House Rd, Suite 101-102, Virginia Beach, VA 23455 Phone: 757-363-3338 Fax: 757-363-3453 | |
Advanced Foot & Ankle Care Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 2117 Mccomas Way Ste 102, Virginia Beach, VA 23456 Phone: 757-301-9996 Fax: 757-301-9958 |