Foot & Ankle Clinic Of Central Nebraska Pc
Podiatrist
620 N Diers Ave Ste 100, Grand Island
Nebraska, 68803-4985
308-381-0404 308-381-0408
Foot & Ankle Clinic Of Central Nebraska Pc is a Podiatrist in Grand Island, Nebraska. It is located at 620 N Diers Ave Ste 100, Grand Island and it's customer support contact number is 308-381-0404. The authorized person of Foot & Ankle Clinic Of Central Nebraska Pc is Dr. Kevin J Larsen, DPM who is President of this DME and his contact number is 308-381-0404. Foot & Ankle Clinic Of Central Nebraska Pc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Foot & Ankle Clinic Of Central Nebraska Pc is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
DME Supplier Details:
Foot & Ankle Clinic Of Central Nebraska Pc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Foot & Ankle Clinic Of Central Nebraska Pc |
| Type: | Podiatrist |
| Location: | 620 N Diers Ave Ste 100, Grand Island,
Nebraska, 68803-4985 |
| Phone: | 308-381-0404 |
| Fax: | 308-381-0408 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Kevin J Larsen |
| Credentials: | DPM |
| Position: | President |
| Contact Number: | 308-381-0404 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1134162910 |
| NPI Enumeration Date: | 13 Jun, 2006 |
| NPI Last Update On: | 21 Jul, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Foot & Ankle Clinic Of Central Nebraska Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Podiatrist | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Medicare Enrollment:
Foot & Ankle Clinic Of Central Nebraska Pc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2264435569 | O20060804000209 | Foot & Ankle Clinic Of Central Nebraska Pc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 2264435569 | O20100930050287 | Foot & Ankle Clinic Of Central Nebraska Pc | DME SUPPLIER - PHYSICIAN - PODIATRY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 5020,
Grand Island, Nebraska |
| Zip: | 68802-5020 |
| Phone Number: | 308-381-0404 |
| Fax Number: | 308-381-0408 |
Patients can reach Foot & Ankle Clinic Of Central Nebraska Pc at
620 N Diers Ave Ste 100, Grand Island, Nebraska or can
call on customer care at 308-381-0404.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.