Affiliated Foot Care Center, Llc - Medicare Podiatrist in Middlefield, CT

Affiliated Foot Care Center, Llc is a medicare enrolled "Podiatrist" provider in Middlefield, Connecticut. Their current practice location is 470 Main St, Middlefield, Connecticut. You can reach out to their office (for appointments etc.) via phone at (860) 349-8500.

Affiliated Foot Care Center, Llc is licensed to practice in Connecticut (license number 000723) and it also participates in the medicare program. Affiliated Foot Care Center, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1295807451.

Contact Information

Affiliated Foot Care Center, Llc
470 Main St,
Middlefield, CT 06455-1210
(860) 349-8500
(860) 349-3081



Healthcare Provider's Profile

Full NameAffiliated Foot Care Center, Llc
TypeFacility
SpecialityPodiatrist
Location470 Main St, Middlefield, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295807451
  • Provider Enumeration Date: 11/14/2006
  • Last Update Date: 01/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7618937939
  • Enrollment ID: O20041013000407

Medical Identifiers

Medical identifiers for Affiliated Foot Care Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295807451NPI-NPPES
004206951MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 000723 (Connecticut)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Affiliated Foot Care Center, Llc acts as a billing entity for following providers:
Provider NameGordon E Fosdick
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1740206192
PECOS PAC ID: 4486614708
Enrollment ID: I20041012000855

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Provider NameRyan Donegan
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1780942045
PECOS PAC ID: 6406148626
Enrollment ID: I20160708001233

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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. Affiliated Foot Care Center, Llc 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
Affiliated Foot Care Center, Llc
470 Main St,
Middlefield, CT 06455-1210

Ph: (860) 349-8500
Affiliated Foot Care Center, Llc
470 Main St,
Middlefield, CT 06455-1210

Ph: (860) 349-8500

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Podiatrist in Middlefield, CT

Dr. Gordon E Fosdick, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 470 Main St, Middlefield, CT 06455
Phone: 860-349-8500    Fax: 860-349-3081

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