Tonda Renee Wooten, DPM - Medicare Podiatrist in Macon, GA

Tonda Renee Wooten, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Macon, Georgia. She went to Kent State University College Of Podiatric Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc, Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc and her current practice location is 4660 Riverside Park Blvd, Macon, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 474-2114.

Tonda Renee Wooten is licensed to practice in Georgia (license number POD001462) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841641974.

Contact Information

Tonda Renee Wooten, DPM
4660 Riverside Park Blvd,
Macon, GA 31210-1395
(478) 474-2114
(478) 474-8745

Map and Direction




Healthcare Provider's Profile

Full NameTonda Renee Wooten
GenderFemale
SpecialityPodiatry
Experience8 Years
Location4660 Riverside Park Blvd, Macon, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tonda Renee Wooten attended and graduated from Kent State University College Of Podiatric Medicine in 2016
  NPI Data:
  • NPI Number: 1841641974
  • Provider Enumeration Date: 06/30/2016
  • Last Update Date: 07/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8325373145
  • Enrollment ID: I20230818003454

Medical Identifiers

Medical identifiers for Tonda Renee Wooten such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841641974NPI-NPPES
00451OtherKYKENTUCKY STATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 000000 (Arizona)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery 00451 (Kentucky)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery POD001462 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Virginia Hospital CenterArlington, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc37794958581628
Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc37794958581628

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tonda Renee Wooten allows following entities to bill medicare on her behalf.
Provider NameKaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1861552721
PECOS PAC ID: 3779495858
Enrollment ID: O20031105000744
Provider NameKaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Provider TypePart B Supplier - Ambulatory Surgical Center
Provider IdentifiersNPI Number: 1114677572
PECOS PAC ID: 3779495858
Enrollment ID: O20221111001583

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tonda Renee Wooten is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tonda Renee Wooten, DPM
4660 Riverside Park Blvd Ste A,
Macon, GA 31210-1399

Ph: (478) 474-2114
Tonda Renee Wooten, DPM
4660 Riverside Park Blvd,
Macon, GA 31210-1395

Ph: (478) 474-2114

Reviews and Comments


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Phone: 706-553-7621    Fax: 706-938-1195

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.