Tooele Foot & Ankle Clinic, Inc. - Medicare Podiatrist in Tooele, UT

Tooele Foot & Ankle Clinic, Inc. is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Tooele, Utah. Their current practice location is 2356 N 400 E, Ste 104, Tooele, Utah. You can reach out to their office (for appointments etc.) via phone at (435) 882-0711.

Tooele Foot & Ankle Clinic, Inc. is licensed to practice in * (Not Available) (license number 103966-0501) and it also participates in the medicare program. Tooele Foot & Ankle Clinic, Inc. 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 1255509154.

Contact Information

Tooele Foot & Ankle Clinic, Inc.
2356 N 400 E, Ste 104,
Tooele, UT 84074-3409
(435) 882-0711
(435) 882-1778



Healthcare Provider's Profile

Full NameTooele Foot & Ankle Clinic, Inc.
TypeFacility
SpecialityPodiatrist - Foot & Ankle Surgery
Location2356 N 400 E, Tooele, Utah
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255509154
  • Provider Enumeration Date: 02/13/2008
  • Last Update Date: 09/23/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 4385727031
  • Enrollment ID: O20080219000144

Medical Identifiers

Medical identifiers for Tooele Foot & Ankle Clinic, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255509154NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 103966-0501 (* (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. Tooele Foot & Ankle Clinic, Inc. acts as a billing entity for following providers:
Provider NameKim A Halladay
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1902809528
PECOS PAC ID: 5193730786
Enrollment ID: I20060220000073

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Provider NameDavid George Mckenzie
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1245541937
PECOS PAC ID: 5092940593
Enrollment ID: I20131126000491

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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. Tooele Foot & Ankle Clinic, Inc. 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
Tooele Foot & Ankle Clinic, Inc.
2356 N 400 E, Ste 104,
Tooele, UT 84074-3409

Ph: (435) 882-0711
Tooele Foot & Ankle Clinic, Inc.
2356 N 400 E, Ste 104,
Tooele, UT 84074-3409

Ph: (435) 882-0711

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Podiatrist in Tooele, UT

Dr. David George Mckenzie Ii, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 2376 N 400 E Ste 204, Tooele, UT 84074
Phone: 801-582-1565    
Dr. Derek Scott Anselmo, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 2376 N 400 E Ste 204, Tooele, UT 84074
Phone: 610-983-1000    
Kim A. Halladay, D.P.M.
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 2356 N 400 E, Ste 104, Tooele, UT 84074
Phone: 435-882-0711    Fax: 435-882-1778

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