Tri Lakes Podiatry Pc is a
Podiatrist based in Nixa, Missouri. Tri Lakes Podiatry Pc is licensed to practice in Missouri (license number 2000165040) and their current practice location is
105 S Ridgecrest Ave, Nixa, Missouri. It can be reached at their office (for appointments etc.) via phone at
(417) 724-3100.
NPI number for Tri Lakes Podiatry Pc is 1275758351 and their current mailing address is Po Box 870, 300 West Mt Vernon Suite G, Nixa, Missouri. Tri Lakes Podiatry Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1275758351.
Healthcare Provider's Profile
Full Name | Tri Lakes Podiatry Pc |
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Type | Facility |
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Speciality | Podiatrist |
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Location | 105 S Ridgecrest Ave, Nixa, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275758351
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Tri Lakes Podiatry Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275758351 | NPI | - | NPPES |
P00294967 | Other | MO | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 2000165040 (Missouri) | Primary |
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. Tri Lakes Podiatry Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tri Lakes Podiatry Pc Po Box 870, 300 West Mt Vernon Suite G, Nixa, MO 65714-0870 Ph: (417) 725-9995 | Tri Lakes Podiatry Pc 105 S Ridgecrest Ave, Nixa, MO 65714-7807 Ph: (417) 724-3100 |
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