White Bear Foot And Ankle Clinic Inc | |
4653 White Bear Pkwy, White Bear Lake, MN 55110-3300 | |
(651) 426-3995 | |
(651) 426-5626 |
Full Name | White Bear Foot And Ankle Clinic Inc |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 4653 White Bear Pkwy, White Bear Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467879684 | NPI | - | NPPES |
472603200 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Provider Name | Ross M Nelson |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1740285220 PECOS PAC ID: 2365337060 Enrollment ID: I20040220000632 |
Provider Name | Desiree M Scholl |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1548433378 PECOS PAC ID: 2365629615 Enrollment ID: I20130326000595 |
Provider Name | Christopher M Phillips |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1891081386 PECOS PAC ID: 3577786920 Enrollment ID: I20140603002001 |
Provider Name | Melanie Johnson |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1053639732 PECOS PAC ID: 2062636673 Enrollment ID: I20160111001713 |
Provider Name | Corey Valentine |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1952612418 PECOS PAC ID: 0345486643 Enrollment ID: I20160128002555 |
Provider Name | Margaret Kedzie |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1437681947 PECOS PAC ID: 8426328543 Enrollment ID: I20230330000780 |
Provider Name | Christopher James Kedzie |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1699396176 PECOS PAC ID: 0244691830 Enrollment ID: I20230728002747 |
Mailing Address | Practice Location Address |
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White Bear Foot And Ankle Clinic Inc 4653 White Bear Pkwy, White Bear Lake, MN 55110-3300 Ph: (651) 426-3995 | White Bear Foot And Ankle Clinic Inc 4653 White Bear Pkwy, White Bear Lake, MN 55110-3300 Ph: (651) 426-3995 |
Dr. Melanie Johnson, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4653 White Bear Pkwy, White Bear Lake, MN 55110 Phone: 651-426-3995 Fax: 651-426-5626 | |
Dr. Alexander Nick Worobel, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4653 White Bear Pkwy, White Bear Lake, MN 55110 Phone: 651-426-3995 Fax: 651-426-5626 | |
Christopher M Phillips, DPM. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4520 Centerville Rd, White Bear Lake, MN 55127 Phone: 651-426-3995 Fax: 651-426-5626 | |
White Bear Foot Clinic Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4653 White Bear Pkwy, White Bear Lake, MN 55110 Phone: 651-426-3995 Fax: 651-426-5626 |