Dorothy Blank, D.P.M.

Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Loxahatchee, FL

NPI 1497768873 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1497768873
Entity type
Individual (NPI type 1)
Primary specialty
Foot & Ankle Surgery Podiatrist 213ES0103X
Practice address
13005 Southern Blvd
Suite 225
Loxahatchee, FL 33470-9206
Phone
(561) 798-0900
Fax
(561) 798-1121
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13005 Southern Blvd
Suite 225
Loxahatchee, FL 33470-9272
Phone (561) 798-0900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050401000674 FL Practitioner - Podiatry 1355398504 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
016004517ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle & Foot Centre of S Florida PA Foot & Ankle Surgery Current
since Dec 1, 1993
Accepting new patients

Locations

13005 State Road 80
Ste 225
Loxahatchee, FL 33470
Phone (561) 313-4884

12765 Forest Hill Blvd
Ste 1309
Wellington, FL 33414
Phone (561) 301-5410

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X IL Yes

Addresses

Primary practice location

13005 Southern Blvd
Suite 225
Loxahatchee, FL 33470-9206

Mailing address

13005 Southern Blvd
Suite 225
Loxahatchee, FL 33470-9206
Phone (561) 798-0900

Other providers in Loxahatchee, FL

All providers in Loxahatchee, FL · Foot & Ankle Surgery Podiatrist in Florida

Sources for this page

Verify at the official NPI Registry.