Alta Ridge Foot Specialists, PLLC
A Medicare group practice based in Boone, NC: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 2163571258), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2163571258
- Provider type
- DME Supplier - Physician - General Practice, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NC
- Enrollments
- 4
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 6
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20090520000239 | NC | Part B Supplier - Clinic/Group Practice | 1891935821 |
| O20200123001722 | NC | DME Supplier - Physician - General Practice | 1629412671 |
| O20200124000264 | NC | DME Supplier - Physician - General Practice | 1124414545 |
| O20200123002602 | NC | DME Supplier - Physician - General Practice | 1265876221 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Alta Ridge Foot Specialists PLLC
- Podiatric Clinic/Center
- Spruce Pine, NC
- NPI 1891935821
-
Alta Ridge Foot Specialists, PLLC
- Podiatrist
- Boone, NC
- NPI 1124414545
-
Alta Ridge Foot Specialists, PLLC
- Foot & Ankle Surgery Podiatrist
- Mars Hill, NC
- NPI 1265876221
-
Alta Ridge Foot Specialists, PLLC
- Foot & Ankle Surgery Podiatrist
- Spruce Pine, NC
- NPI 1629412671
Practice locations
- Spruce Pine, NC2
- Mars Hill, NC2
- Boone, NC2
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).
-
William Aaron Broyles, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Mars Hill, NC
- NPI 1801839964
-
Samantha J Price, DPM
- Foot & Ankle Surgery Podiatrist
- Boone, NC
- NPI 1578900106
-
Robert Lloyd Van Brederode, DPM
- Primary Podiatric Medicine Podiatrist
- Spruce Pine, NC
- NPI 1871590554
-
Thomas D Verla, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Richmond, VA
- NPI 1376890582
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.