Embold Foot Care Llc - Medicare Primary Care in Abilene, KS

Embold Foot Care Llc is a medicare enrolled primary clinic (Nurse Practitioner - Family) in Abilene, Kansas. The current practice location for Embold Foot Care Llc is 981 3600 Ave, Abilene, Kansas. For appointments, you can reach them via phone at (785) 479-6401. The mailing address for Embold Foot Care Llc is 981 3600 Ave, Abilene, Kansas and phone number is (785) 576-9990.

Embold Foot Care Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1831804764. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (785) 479-6401.

Contact Information

Embold Foot Care Llc
981 3600 Ave
Abilene
KS 67410-6044
(785) 479-6401
Not Available

Primary Care Clinic Profile

Full NameEmbold Foot Care Llc
SpecialityNurse Practitioner
Location981 3600 Ave, Abilene, Kansas
Authorized Official Name and PositionChantell Debenham (OWNER/PROVIDER)
Authorized Official Contact7855769990
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Embold Foot Care Llc
981 3600 Ave
Abilene
KS 67410-6044

Ph: (785) 576-9990
Embold Foot Care Llc
981 3600 Ave
Abilene
KS 67410-6044

Ph: (785) 479-6401

NPI Details:

NPI Number1831804764
Provider Enumeration Date01/16/2023
Last Update Date02/02/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0345613378
Medicare Enrollment IDO20230222001675

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Medical Identifiers

Medical identifiers for Embold Foot Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831804764NPI-NPPES
1215247416MedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (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. Embold Foot Care Llc acts as a billing entity for following providers:
Provider NameChantell R Debenham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215247416
PECOS PAC ID: 2163617986
Enrollment ID: I20101105001088

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