Kellie Hetherington, DPM in Lubbock, TX - Medicare Podiatrist Provider

Kellie Hetherington, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Lubbock, Texas. Her current practice location is 3510 4th St, Lubbock, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 472-3400.

Kellie Hetherington is licensed to practice in Oklahoma (license number 338) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285006809.

Contact Information

	Kellie Hetherington, DPM
	3510 4th St, Lubbock, TX 79415-3329
	(806) 472-3400
	Not Available

Healthcare Provider's Profile

Full Name	Kellie Hetherington
Gender	Female
Speciality	Podiatrist - Foot & Ankle Surgery
Location	3510 4th St, Lubbock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285006809
Provider Enumeration Date: 10/22/2015
Last Update Date: 01/19/2022

Medicare PECOS Information:

PECOS PAC ID: 6608106216
Enrollment ID: I20190925000821

Medical Identifiers

Medical identifiers for Kellie Hetherington such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285006809	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	338 (Oklahoma)	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. Kellie Hetherington 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 Address	Practice Location Address
Kellie Hetherington, DPM 1600 Fillmore St Apt 310, Denver, CO 80206-1579 Ph: () -	Kellie Hetherington, DPM 3510 4th St, Lubbock, TX 79415-3329 Ph: (806) 472-3400

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Podiatrist in Lubbock, TX

Benjamin Lloyd Fluhman, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4515 Marsha Sharp Fwy, Lubbock, TX 79407 Phone: 806-744-7223 Fax: 806-740-3325
Trisha Melaine King, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3702 22nd Pl, Lubbock, TX 79410 Phone: 806-747-4467 Fax: 806-788-1708
George C. Bakatsas, D.p.m., L.l.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 6849 82nd St Ste 102, Lubbock, TX 79424 Phone: 806-300-0134 Fax: 806-300-0851
West Texas Foot Specialist Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4412 50th St, Lubbock, TX 79414 Phone: 806-795-8037 Fax: 806-799-6218
Plains Podiatry Associates Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2204 Ithaca Ave, Suite C, Lubbock, TX 79410 Phone: 806-793-6811 Fax: 806-793-9278
Dr. Sean Paul Schwarzentraub, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4601 66th St, Lubbock, TX 79414 Phone: 806-793-3668 Fax: 806-792-6664
Dr. Jeffery Clayton Mcneely, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2126 50th St, Lubbock, TX 79412 Phone: 806-744-1168 Fax: 806-744-2368

Kellie Hetherington, DPM - Medicare Podiatrist in Lubbock, TX