Mickenbergs Ambulatory Foot Care Pa in Pasadena, MD - Medicare Durable Medical Equipment & Medical Supplies Provider

Mickenbergs Ambulatory Foot Care Pa is a medicare enrolled "Durable Medical Equipment & Medical Supplies" provider in Pasadena, Maryland. Their current practice location is 8094 Edwin Raynor Blvd, Ste C, Pasadena, Maryland. You can reach out to their office (for appointments etc.) via phone at (410) 255-0040.

Mickenbergs Ambulatory Foot Care Pa is licensed to practice in Maryland (license number 01053) and it also participates in the medicare program. Mickenbergs Ambulatory Foot Care Pa 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 1386822104.

Contact Information

	Mickenbergs Ambulatory Foot Care Pa
	8094 Edwin Raynor Blvd, Ste C, Pasadena, MD 21122-6834
	(410) 255-0040
	(410) 360-4955

Healthcare Provider's Profile

Full Name	Mickenbergs Ambulatory Foot Care Pa
Type	Facility
Speciality	Durable Medical Equipment & Medical Supplies
Location	8094 Edwin Raynor Blvd, Pasadena, Maryland
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386822104
Provider Enumeration Date: 02/04/2008
Last Update Date: 04/14/2011

Medicare PECOS Information:

PECOS PAC ID: 6608995725
Enrollment ID: O20100930065407

Medical Identifiers

Medical identifiers for Mickenbergs Ambulatory Foot Care Pa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386822104	NPI	-	NPPES
1338463	Other		CIGNA
1386822104	Other		COVENTRY
1386822104	Other		MAMSI
1386822104	Other		ALLIANCE
T276	Other	MD	CAREFIRST
1386822104	Other		FIRST HEALTH
1386822104	Other		FIDELITY
1386822104	Other		EHP
217484	Other		MDIPA/OPTIMUM CHOICE
062308307	Medicaid	MD
1386822104	Other		EMPLOYER HEALTH INSURANCE
480012800	Other		RAILROAD MEDICARE
B765 001	Other		CAREFIRST FEDERAL EMPLOYEE PROGRAM
1386822104	Other		TRICARE
1386822104	Other		UNITED HEALTHCARE
T765	Other	MD	BLUE CHOICE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	01053 (Maryland)	Secondary
332B00000X	Durable Medical Equipment & Medical Supplies	01053 (Maryland)	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. Mickenbergs Ambulatory Foot Care Pa 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
Mickenbergs Ambulatory Foot Care Pa 8094 Edwin Raynor Blvd, Ste C, Pasadena, MD 21122-6834 Ph: (410) 255-0040	Mickenbergs Ambulatory Foot Care Pa 8094 Edwin Raynor Blvd, Ste C, Pasadena, MD 21122-6834 Ph: (410) 255-0040

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Mickenbergs Ambulatory Foot Care Pa - Medicare in Pasadena, MD