Bridge City Foot & Ankle Llc - Medicare Podiatrist in Beaverton, OR

Bridge City Foot & Ankle Llc is a medicare enrolled "Podiatrist" provider in Beaverton, Oregon. Their current practice location is 4770 Sw Watson Ave, Beaverton, Oregon. You can reach out to their office (for appointments etc.) via phone at (503) 427-8967.

Bridge City Foot & Ankle Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Bridge City Foot & Ankle 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 1669074316.

Contact Information

Bridge City Foot & Ankle Llc
4770 Sw Watson Ave,
Beaverton, OR 97005-0511
(503) 427-8967
(971) 223-0096



Healthcare Provider's Profile

Full NameBridge City Foot & Ankle Llc
TypeFacility
SpecialityPodiatrist
Location4770 Sw Watson Ave, Beaverton, Oregon
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669074316
  • Provider Enumeration Date: 11/09/2020
  • Last Update Date: 10/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3577975762
  • Enrollment ID: O20201211001474

Medical Identifiers

Medical identifiers for Bridge City Foot & Ankle Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669074316NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bridge City Foot & Ankle Llc acts as a billing entity for following providers:
Provider NamePeter Stach
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1366965675
PECOS PAC ID: 4486066677
Enrollment ID: I20201211001597

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Provider NameTyson Marquis Schmidthuber
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1053830463
PECOS PAC ID: 9234558370
Enrollment ID: I20220711000843

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Provider NameMichael James Weindorf
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1356838825
PECOS PAC ID: 8820345978
Enrollment ID: I20221229000001

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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. Bridge City Foot & Ankle 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
Bridge City Foot & Ankle Llc
1720 Sw Huntington Ave,
Portland, OR 97225-4752

Ph: (503) 805-4720
Bridge City Foot & Ankle Llc
4770 Sw Watson Ave,
Beaverton, OR 97005-0511

Ph: (503) 427-8967

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This story contains a warning that might cause alarm — or apathy

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› Verified 6 days ago


Podiatrist in Beaverton, OR

Peter Stach, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 4770 Sw Watson Ave, Beaverton, OR 97005
Phone: 503-805-4720    Fax: 971-223-0969
Dr. Peter Duy Pham, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 17200 Nw Corridor Ct Ste 108, Beaverton, OR 97006
Phone: 503-292-9252    
Kenneth K.s. Mah, D.P.M.
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 14355 Sw Allen Blvd, Suite 120, Beaverton, OR 97005
Phone: 503-643-1737    Fax: 503-643-4926
Brian Guy Orahood, DPM
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 17200 Nw Corridor Ct Ste 108, Beaverton, OR 97006
Phone: 503-292-9252    Fax: 503-992-6780
Dr. Candace Lynn Gregory, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 14795 Sw Murray Scholls Dr Ste 121, Beaverton, OR 97007
Phone: 503-597-5647    Fax: 503-597-5640
Oregon Foot And Ankle Specialists, Llc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 17200 Nw Corridor Ct Ste 108, Beaverton, OR 97006
Phone: 503-292-9252    Fax: 503-992-6780

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