Westside Podiatry Group LLC
A Medicare group practice based in Rochester, NY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3971543554), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3971543554
- Provider type
- DME Supplier - Physician - Podiatry, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NY
- Enrollments
- 3
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050504000094 | NY | Part B Supplier - Clinic/Group Practice | 1427108992 |
| O20100930072992 | NY | DME Supplier - Physician - Podiatry | 1427108992 |
| O20170524002625 | NY | DME Supplier - Physician - Podiatry | 1730623869 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Westside Podiatry Group LLC
- Foot Surgery Podiatrist
- Rochester, NY
- NPI 1427108992
-
Westside Podiatry Group LLC
- Foot Surgery Podiatrist
- Rochester, NY
- NPI 1730623869
Practice locations
- Rochester, NY5
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).
-
Katrina Jeanne Manos, DPM
- Foot & Ankle Surgery Podiatrist
- Rochester, NY
- NPI 1770710683
-
Daniel Eric Tellem, DPM
- Foot Surgery Podiatrist
- Rochester, NY
- NPI 1588714042
-
Evan Verbofsky, DPM
- Foot & Ankle Surgery Podiatrist
- Rochester, NY
- NPI 1053791558
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.