Ankle and Foot Associates
Organization Active NPI Podiatrist · Brookville, PA
NPI 1790785392 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1790785392
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- Legal business name
- ANKLE AND FOOT ASSOCIATES
- Practice address
- 50 S White St
Brookville, PA 15825-2424 - Phone
- (814) 849-2073
- Fax
- (814) 849-8282
- NPI assigned
- Jul 26, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Debbie Ann Monks
- Title
- Business Manager
- Phone
- (814) 849-2073
Practitioners 2
-
John Thomas Wagner, DPM
-
Andrew Grant Puckett, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040331000109 | PA | Part B Supplier - Clinic/Group Practice | 3476545583 |
Receives reassigned benefits from 1 practitioner Practice locations: Brookville, PA |
National Provider Directory
Locations
24 Doctors Ln
Ste 303
Clarion, PA 16214
819 Mount Royal Blvd
Pittsburgh, PA 15223
Phone (412) 492-9006
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | PA | Yes | |
| Foot & Ankle Surgery Podiatrist |
213ES0103X | PA |
Addresses
Primary practice location
50 S White St
Brookville, PA 15825-2424
Mailing address
73 S White St
Brookville, PA 15825-2427
Phone (814) 849-2073
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007443290005 | Medicaid | PA |
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All providers in Brookville, PA · Podiatrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.