Foot and Ankle Care of Boulder County
A Medicare group practice based in Boulder, CO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4789049339), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4789049339
- Provider type
- DME Supplier - Physician - Podiatry, Part B Supplier - Clinic/Group Practice
- Enrolled in
- CO
- Enrollments
- 3
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20230503002659 | CO | Part B Supplier - Clinic/Group Practice | 1376239293 |
| O20230927004118 | CO | DME Supplier - Physician - Podiatry | 1376239293 |
| O20230801001513 | CO | DME Supplier - Physician - Podiatry | 1538855457 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Foot and Ankle Care of Boulder County
- Foot & Ankle Surgery Podiatrist
- Boulder, CO
- NPI 1376239293
-
Foot and Ankle Care of Boulder County
dba Foot & Ankle Care of Boulder County
- Foot & Ankle Surgery Podiatrist
- Greeley, CO
- NPI 1538855457
Practice locations
- Greeley, CO2
- Boulder, CO2
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).
-
Logan Christiansen, DPM
- Podiatrist
- Greeley, CO
- NPI 1467033134
-
Brian P Gradisek, D.P.M.
- Podiatrist
- Boulder, CO
- NPI 1700178092
-
Nicole Megan Roth, DPM
- Podiatrist
- Boulder, CO
- NPI 1770879413
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.