Tidewater Foot & Ankle Associates, Inc.
A Medicare group practice based in Palm Harbor, FL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1850646779), with 2 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1850646779
- Also listed as
- Tidewater Foot and Ankle Associates, Inc.
- Provider type
- DME Supplier - Physician - Podiatry, Part B Supplier - Clinic/Group Practice
- Enrolled in
- FL
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20180618002799 | FL | Part B Supplier - Clinic/Group Practice | 1629573217 |
| O20230405003110 | FL | DME Supplier - Physician - Podiatry | 1033837992 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Tidewater Foot & Ankle Associates, Inc.
- Podiatrist
- Palm Harbor, FL
- NPI 1033837992
-
Tidewater Foot & Ankle Associates, Inc.
- Foot & Ankle Surgery Podiatrist
- Palm Harbor, FL
- NPI 1629573217
Practice locations
- Palm Harbor, FL2
Clinicians 2
Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).
-
Kyle Johnson, DPM
- Foot & Ankle Surgery Podiatrist
- Palm Harbor, FL
- NPI 1275824419
-
Megan Brook Johnson, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Palm Harbor, FL
- NPI 1114211299
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.