Southern Oregon Foot & Ankle, Llc - Medicare Podiatrist in Medford, OR

Southern Oregon Foot & Ankle, Llc is a medicare enrolled "Podiatrist - Foot Surgery" provider in Medford, Oregon. Their current practice location is 1904 E Barnett Rd, Medford, Oregon. You can reach out to their office (for appointments etc.) via phone at (541) 776-3338.

Southern Oregon Foot & Ankle, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Southern Oregon 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 1891980546.

Contact Information

Southern Oregon Foot & Ankle, Llc
1904 E Barnett Rd,
Medford, OR 97504-8262
(541) 776-3338
(541) 776-4979



Healthcare Provider's Profile

Full NameSouthern Oregon Foot & Ankle, Llc
TypeFacility
SpecialityPodiatrist - Foot Surgery
Location1904 E Barnett Rd, Medford, Oregon
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891980546
  • Provider Enumeration Date: 09/06/2007
  • Last Update Date: 09/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3274628359
  • Enrollment ID: O20071004000259

Medical Identifiers

Medical identifiers for Southern Oregon Foot & Ankle, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891980546NPI-NPPES
243148MedicaidOR
891269000OtherORBLUE CROSS GROUP #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0131XPodiatrist - Foot Surgery (* (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. Southern Oregon Foot & Ankle, Llc acts as a billing entity for following providers:
Provider NameEvan C Merrill
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1528166485
PECOS PAC ID: 4082603147
Enrollment ID: I20071004000253

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Provider NameAdam Gerber
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1780029231
PECOS PAC ID: 7517194806
Enrollment ID: I20160607000122

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Provider NameDevin Gardner Dimond
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1134521750
PECOS PAC ID: 6305193749
Enrollment ID: I20200827001411

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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. Southern Oregon 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
Southern Oregon Foot & Ankle, Llc
1904 E Barnett Rd,
Medford, OR 97504-8262

Ph: (541) 776-3338
Southern Oregon Foot & Ankle, Llc
1904 E Barnett Rd,
Medford, OR 97504-8262

Ph: (541) 776-3338

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Podiatrist in Medford, OR

Dr. Heather Aileen Holdermann, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 490 Murphy Rd, Medford, OR 97504
Phone: 541-779-5227    Fax: 541-779-1938
Devin Dimond, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1904 E Barnett Rd, Medford, OR 97504
Phone: 541-776-3338    Fax: 541-776-4979
Dr. Ricky Edward Mcclure, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 713 Golf View Drive, Medford, OR 97504
Phone: 541-770-1225    Fax: 541-770-1245
Dpmbeckmannnror Llc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 835 Crater Lake Ave, Medford, OR 97504
Phone: 541-773-7717    
Rogue Valley Foot Clinic P.c.
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 2655 Siskiyou Blvd, Medford, OR 97504
Phone: 541-773-3338    Fax: 541-772-9526
Dr. Lawrence F Helton, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 761 Golf View Dr, Ste A, Medford, OR 97504
Phone: 541-779-5263    Fax: 541-779-0555
Evan Chard Merrill, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1904 E Barnett Rd, Medford, OR 97504
Phone: 541-776-3338    Fax: 541-776-4979

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