Karen M Ackerman, D.P.M.
Individual provider Active NPI Podiatrist · Dodge City, KS
NPI 1669495776 · NPPES record last updated Jun 13, 2008
Key facts
- NPI
- 1669495776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 12-00286 (KS)
- Practice address
- 2300 N 14TH Ave
Suite 100a
Dodge City, KS 67801-2368 - Phone
- (620) 225-7829
- Fax
- (620) 225-4827
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2300 N 14TH Ave
Suite 100a
Dodge City, KS 67801-2367
Phone (620) 225-7829
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 614 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080520000853 | KS | Practitioner - Podiatry | 9436228178 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12-00286 | KS | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen M. Ackerman, D.P.M., P.a. | Podiatrist | Current |
Accepting new patients |
Locations
2300 N 14th Ave
Ste 100A
Dodge City, KS 67801
Phone (316) 225-7829
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 12-00286 | KS | Yes |
Addresses
Primary practice location
2300 N 14TH Ave
Suite 100a
Dodge City, KS 67801-2368
Mailing address
2300 N 14TH Ave
Suite 100a
Dodge City, KS 67801-2368
Phone (620) 225-7829
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114024 | Other | KS | BCBS |
Other providers in Dodge City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.