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| PM News | |
The Voice of Podiatrists
Serving Over 22,066 Subscribers Daily
February 28, 2024 #7,698  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2024- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
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Does your practice use EHR, and if so, what are the monthly fees? |
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| PODIATRISTS IN THE NEWS | |
Foot Health is Part of Overall Health: CT Podiatrist
Most people have a foot or ankle problem at one time or another. So how do you know when to seek help? Many symptoms—even those you can tolerate—require the professional attention of a foot and ankle surgeon to keep the underlying condition from worsening. According to Danielle Butto, DPM, a board-certified foot and ankle surgeon and a Fellow Member of the American College of Foot and Ankle Surgeons.
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Dr. Danielle Butto |
“It’s important to remember that foot health is an important part of your overall health. You need to take care of your feet, which includes going to the doctor when you have pain, sustain an injury or develop a condition needing professional evaluation and treatment.”
Source: The Sentinel [2/26/24]
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| INTERNATIONAL PODIATRISTS IN THE NEWS | |
UK Podiatrist Discusses Causes of Smelly Feet
Smelly socks, sandals and shoes, and foul-smelling feet are all the result of bacteria breeding on sweat and building up in the foot area. Consultant podiatrist Matthew Fitzpatrick, spokesman for the College of Podiatry, says no one has inherently smelly feet and that it all comes down to poor hygiene.
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Matthew Fitzpatrick |
"It’s not the sweat that smells but the bacteria that breaks down sweat on the foot, and if it’s not washed away and is allowed to build up in socks and shoes that aren’t changed regularly; then your feet become smelly," he says.
Source: Sound Health and Lasting Health [2/21/24]
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| PODIATRISTS AND FOOTWEAR | |
NY Podiatrist Discusses What to Look for in Orthopedic Shoes
Your feet bear a big load. As such, it’s important to show them a little extra love and support—and wearing orthopedic shoes is one of the simplest ways to do that. If you’re looking to purchase a pair, who better to provide recommendations for the best orthopedic shoes than podiatrists?
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Dr. Bruce Pinker |
Not everyone is going to use an insert along with their orthopedic shoes. However, if you know you will, podiatrist Bruce Pinker, DPM, founder of Progressive Foot Care, says you need to keep that in mind when you’re shopping for orthopedic shoes. Because the point of orthopedic shoes is to provide support to your whole foot, podiatrists don’t recommend wearing high heels—which put a lot of strain on the front and arch of your foot. “Women should avoid shoes that have heels higher than two and a half inches,” says Dr. Pinker.
Source: Natalie Arroyo Camacho, She Knows [2/22/24]
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| FROM PM's CURRENT ISSUE | |
Several times a week, PM News posts an entire article from a recent issue of our partner, Podiatry Management Magazine. Please note that the views expressed in Podiatry Management Magazine do not necessarily reflect the views of PM News or Barry Block.
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Today's featured article |
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
8 Billing Tips for Practices
The implementation of these billing tips can be a transformative step towards improving the financial health of your primary care practice.
2. Understanding your insurance payer contracts
Familiarize yourself with the terms of your insurance payer contracts. Knowing exactly what your contract allows in terms of reimbursement rates, covered services, and billing guidelines helps prevent underpayment or denials. Many times, providers will bill for treatments that their license allows but which that particular insurance payer’s contract does not actually allow.
Source: Tina Hsiao, MBA, Physicians Practice [2/15/24]
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 A | |
From: John Mozena, DPM
Dr. Daniel Jones brings up a great point! Maybe it’s time to revisit the idea of our specialty being absorbed by osteopathy or the allopathic schools. Is there really that much difference in our training these days? With so many medical and osteopathic schools, I’m sure there is room for our students and their money.
John Mozena, DPM, Portland, OR
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 B | |
From: Lawrence Rubin, DPM
I agree with Dr. Steinberg. From what I have observed and have been told, the curriculum in our schools has not kept up to the standards for today's podiatric physicians and surgeons to become successful in practice. A glaring, practical example applies to information that pertains to a podiatrist's personal financial success. It is my understanding that there is little if any classroom content on practice management and "The Business of Podiatry."
I don't find this surprising. Having been a podiatrist for 66 years, I have observed a long-time reluctance of our schools to include practice management and podiatric medical economics educational curricula. For example, right now, our entire healthcare reimbursement system is dramatically changing from a fee-for-service model to a value-based care model. In fact, in a recent issue of APMA News, there was a very informative article advocating podiatric practices transition from fee-for-service to value-based care.
I doubt whether current podiatry students are being informed that their future insurance reimbursement for spending an hour of preventive services, providing chronic care management (CCM) for a patient who suffers from lower extremity conditions such as diabetic peripheral neuropathy and peripheral artery disease. This already surpasses what they can earn in an hour for providing most surgical procedures that include post-operative care. Knowing this might influence a student to not become financially dependent upon providing major surgical procedures, especially if they are elective. Or, maybe even go, “Direct Care” and not accept anything other than cash payment. Who would deny that, forewarned is forearmed? Our students deserve to be better prepared for the future.
Lawrence Rubin, DPM, Las Vegas, NV
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| RESPONSES/COMMENTS (PUBLISHED PODIATRISTS) - PART 1 A | |
From: Ivar Roth, DPM, MPH
Thanks Dr. Jacobs for your comments. With my concierge practice, I take the time to treat each patient personally and follow them up very carefully. When I say follow-up for fungus nail treatments, I include a 3 month follow-up as well as a 12 month at no charge. Since the patients paid significant funds, we have a high number that return for their follow-up appt. We take photos 100% of the time at each visit during the treatment and with follow-ups. I have spent over 2 decades trying to cure fungus toenails, and I can say with great pride that I have achieved that goal. I have successfully treated thousands of patents now. When I say cured, I mean cured. I use a 4-step process.
The first step is using a laser or lasers which I have developed a proprietary protocol for. It took me years to figure out what settings and times to use. The second step is meticulous...
Editor's note: Dr. Roth's extended-length letter can be read here
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| RESPONSES/COMMENTS (PUBLISHED PODIATRISTS) - PART 1 B | |
From: William P Scherer, DPM, MS, Wayne L. Bakotic, DO
Dr. Ivar Roth may indeed have subjective success in treating onychomycosis without laboratory testing; however, this is certainly not the case universally. Essentially, all dermatology and podiatry peer-reviewed literature on this topic have demonstrated that only ~50% of dystrophic nails are, in fact, onychomycosis. Visual assessment by a physician, while an essential part of a patient encounter, is unreliable at discerning an accurate etiology of the nail changes observed, as demonstrated by multiple referenced studies. The level of precision required to render an accurate and proper diagnosis of onychomycosis is best obtained through laboratory confirmation following appropriate clinical evaluation.
Onychodystrophy can have varying etiologies both infectious (fungal and bacterial) and non-infectious (microtrauma, psoriasis, lichen planus, melanonychia, etc.), which is the precise reason why laboratory confirmation prior to definitive pharmaceutical therapy is recommended. Additionally, terbinafine resistance, which requires laboratory evaluation to identify, is an omnipresent issue with a current rate >5% in those with confirmed onychomycosis in the U.S., although the rates overseas are far higher and increasing. It is for these stated reasons that laboratory confirmation, no matter which laboratory or testing methodology is chosen, is recommended by the CDC, American Academy of Dermatology, British Association of Dermatologists, and others. Our recently published paper with 96,293 samples supports and reinforces these recommendations. It goes without saying that the accurate characterization of nail pathology utilizing evidence-based medicine, no matter the etiology, allows for individualized treatment plans that ultimately result in improved patient outcomes and overall satisfaction.
Disclosure: Drs. Scherer and Bakotic are affiliated with Bako Diagnostic Labs.
William P Scherer, DPM, MS, Delray Beach, FL, Wayne L. Bakotic, DO, Alpharetta, GA
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| RESPONSES/COMMENTS (PM NEWS QUICK POLLS) | |
From: Pete Harvey, DPM
I was somewhat taken aback to read that almost half of the profession is paying over $450/month for EHR services. In every journal I read, at every meeting I go to, and in personal correspondence, this topic is never discussed. It might be interesting to begin a discussion concerning the various ramifications of EHR cost and implementations.
Have any readers been through the process of your program being sold without your knowledge until you get a call or email stating that your program has been sold to another EHR provider? Then, you must continue with the new provider or find a different one. This topic, and those related to it, should be on every podiatry program in the country. We might begin here. If you discuss a particular EMR provider, it’s probably best to delete the name.
Pete Harvey, DPM, Wichita Falls, TX
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Purple and peculiar |
Source: Danta Tydor via Virtual Shoe Museum
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MEETINGS & WEBINARS
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $299
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Choose any or ALL from 25+ CECH Category-1 articles posted
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| CLASSIFIED ADS - ASSOCIATE AND FACULTY POSITIONS, AND FELLOWSHIPS |
PM NEWS CLASSIFIED ADS REACH OVER 20,000 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
ASSOCIATE POSITION – MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA
Immediate opening for a podiatric surgeon with interest in wound care, podiatric medicine, foot surgery and clinical research. Ankle surgery and reconstructive rearfoot surgery is not available. Ideal candidate is board-certified/qualified with prior clinical experience. MGH is affiliated with Harvard Medical School and our podiatric physicians are eligible for faculty appointments through department of orthopedic surgery. Excellent salary and benefits. Please contact Dr. Landsman. alandsman@mgh.harvard.edu
ASSOCIATE POSITION - GREENVILLE, SC
Busy two-office practice with three doctors in Greenville SC seeking a full-time podiatry associate. Start date immediately. All aspects of podiatric surgery, medicine and biomechanics. Benefits include 401 K, malpractice, health and dental insurance, CME, short and long-term disability. PTO. (All other standard benefits) Please send cover letter with CV to podiatryresumes@upstatefootdocs.com
ASSOCIATE POSITION – FLORIDA
Join a busy professional practice with 13 locations across SWFL. Associates in Medicine & Surgery LLC is a well established leader in the podiatry space in SWFL. Excellent long-term opportunity for a well-trained podiatrist with enormous potential in all aspects of foot and ankle surgery, and clinic. Large and diverse demographic of patients. The position is full time and will be paid a base salary with bonus incentive. For more information, please email Wyatt Hilderbrand (Operations Director) at whilderbrand@aimsfl.com. Please include your curriculum vitae, and a brief message expressing your interest in our area and position
PART TIME PODIATRIST - CALIFORNIA
Established Southern California practice currently looking for a part-time, motivated, and caring podiatrist. We are seeking someone with interest in wound care, diabetic care, and surgeries. Please send your current CV with availability and per diem rate. socalfootcare@gmail.com
ASSOCIATE POSITION - MANHATTAN
Gotham Footcare, a leading and reputable multi-location private practice seeks a skilled podiatrist with 1+ year private practice experience in surgery and communication. Drive growth with up to $250k first-year compensation. Enjoy perks like paid vacation and a 401(k) plan. Grow with us in the heart of Manhattan! Inquiries: send resume to ana@gothamfootcare.com
FULL-TIME PODIATRIST - DALLAS/FORT WORTH AREA
Join a Dynamic multi-specialty 6 location group with cutting-edge equipment, storefront presence, physical therapy. Competitive starting salary of $150k, with the potential to easily earn up $200k with bonus. Send CV to Cnunez1940@gmail.com (Texasfootdoctor.org)
ASSOCIATE POSITIONS - CHICAGOLAND AREA
Associate positions in the Chicagoland area with 14 locations. Full & part time positions available. Surgical & non-surgical positions currently and in July. Be part of a dynamic team. Onsite MRI, Laser therapy, shockwave. Competitive compensation, full benefit package, health/dental/life/disability, malpractice coverage & 401k. Email CV to drmceneaney@illinoisfoot.com
OPPORTUNITY OF A LIFETIME! - GAINESVILLE, FL
Surgically trained podiatrist needed. 40% of collections first year and equity partnership after that. Looking for someone to start now in Gainesville, FL. Located close to the surgical center and hospital. Seriously interested podiatrists please send CV to podiatry42984@gmail.com
ASSOCIATE POSITION – MANHATTAN
A busy midtown Manhattan multidisciplinary sports medicine practice is looking for a non-surgical podiatrist. All applicants must be able to work both morning and evening hours Monday-Thursday. Salary is $175,000 plus an annual bonus. There is potential for growth. Please e-mail resume to drgee319@yahoo.com.
MOBILE PODIATRIST NEEDED - SAN DIEGO
Well-established and fast growing House-call podiatry practice (www.barefeet-podiatry.com) is looking for podiatrists to see patients in their homes, assisted living facilities, & skilled nursing facilities. We offer a flexible schedule (Part-Time/Full-time), excellent monthly compensation, and dedicated support staff. July 2024 graduates are welcome. Please email CV to: barefeetpodiatry1@gmail.com
ASSOCIATE POSITION – ST. GEORGE, VERNAL, MILLCREEK OR WVC, UTAH
Immediate Doctor of Podiatric medicine position for a well-trained, highly motivated individual. Location: ST. GEORGE, VERNAL, MILLCREEK OR WVC , Utah. Competitive salary with commission structure. Benefits include: PTO, CME allowance, health and malpractice insurance. Must be confident in working solo in your own office environment. Please email Cover Letter and CV to laney@summitmedicalpartners.com
ASSOCIATE POSITIONS – SOUTH CAROLINA
KG Health Partners is seeking full-time and part-time podiatrists to provide mobile lower extremity care to long-term care residents in these territories: Greenville/Spartanburg, South Carolina; and Charleston, South Carolina. Monday through Friday schedule, competitive wages, malpractice insurance, and benefits for full-time employees. Email CV to Kgadmin@kghealthpartners.com
FULL TIME PODIATRIST - NEW JERSEY
Established Podiatry practice in New Jersey with multiple locations and Doctors. We are currently looking for a full-time motivated and caring Doctor to join our busy practice. Benefits include: competitive six-figure compensation ranging from $155,000-$250,000, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and 401(k) plan. Great prospects for experienced Doctors as well as new Associates. This is an excellent opportunity to expand your podiatric medical experience in an office-based practice! If interested, please submit your CV to DrSamofal@PodiatryCenterNJ.com
ASSOCIATE PODIATRIST – MARYLAND
Our office is seeking a non-surgical podiatrist to join our practice. Full-time, Monday–Thursday, 7:00 a.m.–4:00 p.m. Friday, 7:00 a.m.-3:00 p.m. This candidate will be able to retain and treat patients in a protocol-based office setting. Must enjoy wound care and routine footcare. Our office has digital x-ray machines, laser, ultrasound, full-time shoe-stores, PadNet, full-time marketer and more. Health, vision, dental at no cost to the employee, no holidays, no weekends, CME allowance, Malpractice at no cost, Paid Vacation/sick, and 401K with employer match after one year. Join a very fast-paced environment with a very dynamic and enthusiastic team. Send CV to: Jelena@somdfootandankle.com
ASSOCIATE POSITION - ALBANY, NY (CAPITAL REGION FOOT CARE)
We are looking for a surgically trained podiatrist, with a heavy emphasis on forefoot surgery and wound care, to join our busy practice. We are well-established with local hospital affiliations and treat a good variety of pathology. If interested, please send CV to: Steven.Lam2@gmail.com
ASSOCIATE POSITION - DURANGO, CO
Established and fast growing multi-specialty group is looking for a full-time podiatrist in the Durango Colorado area. Interested in an energetic team member who is able to manage and direct all aspects of podiatry. Salary -$150-200K based on experience. Bonus structure. Benefits. Please send your CV to nick@innovationmedgroup.com
ASSOCIATE POSITION - VANCOUVER, CANADA
Busy, well-established practice looking for motivated podiatrist with excellent clinical and people skills. 2 office locations. CASH PAY. Lots new patients monthly. Huge growth potential. Practice allows great work-life balance. NO CALLS. Competitive pay structure and sign-on bonus. Non-Canadian, new graduate, experienced DPM applicants welcome. Email CV to podiatryvancouver@gmail.com
ASSOCIATE POSITION – JACKSONVILLE, FL
Associate position leading to partnership. Adler Podiatry Clinic established 1974 in Jacksonville, FL is a high referral group practice. Great opportunities for expansion. Compensation: 30% of net collections with base guarantee and benefits. Welcome recent residency graduate or relocating podiatrist looking for a great lifestyle. Send resumes to: jknuckles@adlerpodiatry.com
ASSOCIATE POSITION - MICHIGAN (OAKLAND COUNTY/DETROIT SUBURBS)
Outstanding opportunity, well established group practice, general podiatry, surgical forefoot, rearfoot & ankle (full time). Responsible, motivated team player with good communication skills, base salary + bonus,+ benefits, malpractice, continuing education. Confidential reply CV & letter of interest to: DPMposition@AOL.com
ASSOCIATE POSITION – MISSOURI
Amazing opportunity with a highly reputable practice in the Midwest. Wonderful place to live and practice in a fast-growing suburban community. We are recruiting a board qualified/certified Podiatrist with opportunity for ownership. Enjoy a great work environment with a strong support staff. Ideal for someone who wants to provide high quality foot care. We have a substantial patient base which will provide immediate income. We offer a competitive salary with bonus structure and benefits. Independent, private practice. Submit your CV to stcpod@att.net or call Edward Stein, DPM at (314) 565-2739.
ASSOCIATE POSITION - CHARLESTON/HUNTINGTON AND BECKLEY, WV
US Foot and Ankle Specialists (USFAS), the largest podiatric group in the United States is hiring! USFAS is looking for Associate Doctors to join our team in West Virginia. Our group of physicians use state of the art, podiatry-specific technology, and software to stay on top of today’s changing medical trends and provide our patients with the highest quality care. USFAS is an excellent opportunity for those who are seeking long-term employment. Please send a cover letter and resume to recruiting@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed.
ASSOCIATE POSITION - WESTPORT/SHEPHERDSVILLE, KY
US Foot and Ankle Specialists (USFAS), the largest podiatric group in the United States is hiring! USFAS is looking for Associate Doctors to join our team in Kentucky. Our group of physicians use state of the art, podiatry-specific technology, and software to stay on top of today’s changing medical trends and provide our patients with the highest quality care. USFAS is an excellent opportunity for those who are seeking long-term employment. Please send a cover letter and resume to recruiting@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed.
ASSOCIATE POSITION - CT (FAIRFIELD, GREENWICH, AND NORTH HAVEN)
Full time position available. A very busy schedule and competitive compensation package is being offered. Our EMR system is MacPractice and digital x-ray is 20/20 Imaging. Sonoace ultrasound, a PinPointe laser, and an EPAT by Curamedix as well. Please visit our website www.greatfootcare.com and send resume to DrKassaris@GreatFootCare.com
ASSOCIATE POSITION - THE WOODLAND, TEXAS
Successful, well respected multi-location, podiatric group seeking one physician with experience in wounds/diabetic care, and one physician with experience in biometrics/orthotics. Please send current resume with availability and Texas license status to alexandra@nevillefeet.com
ASSOCIATE POSITION – COASTAL SOUTH CAROLINA
Expanding, busy practice seeking BQ/BC associate with training in F&A surgery, wound care, hospital in-pt management and well-rounded clinical skills. Great opportunity for continued growth with great diversity in patient mix. Opportunity for great incentive salary. Email cover letter, CV and LORs to podiatrypracticesc@gmail.com
ASSOCIATE POSITION - MARYLAND
Immediate associate position to join our team. An expanding, dynamic podiatry practice with lots of room to grow. Limb salvage, deformity, trauma & clinic. Multiple hospitals to take call, hospital call required. Maryland license preferred, BQ required. Full benefit package available. Please email CV to footanklerecon@gmail.com
ASSOCIATE POSITION – CALGARY, CANADA
We are looking for a podiatrist comfortable with all aspects of podiatry, ranging from surgery to foot care. We have four exam rooms and an accredited in-office surgical suite, digital x-ray, shockwave and EMR. Must be able to work in Canada. Partnership opportunities available. Please contact lalani@alpinefootankle.com
WOUND CARE FELLOWSHIP - NEW YORK
CPME APPROVED 12 month fellowship beginning July 1st, 2024. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, as well as, general, vascular, and podiatric surgeons. Must have completed a PMSR residency. Please contact or jtfootcare@gmail.com. EOE employer.
FELLOWSHIP POSITION – FLORIDA
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE | |
PM NEWS CLASSIFIED ADS REACH OVER 22,000 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
PRACTICE FOR SALE – MASSACHUSETTS
Modern, well established since 1986. Busy, 75 new patients a month. All aspect of podiatric services. Fully equipped, certified EHR, laser, digital x-ray, vascular machine, Pad net. In-house billing, well run. Located within a mile from hospital. Owner is willing to stay as necessary during transition. Contact drwaw54@aol.com
PRACTICE FOR SALE- MINNEAPOLIS, MINNESOTA
Amazing opportunity to take over a thriving established practice. Ideal for someone who wants to provide high quality foot care and practice the way you want with unlimited potential. Affordable with immediate income. Financing available. Wonderful place to live and practice. Serious inquiries only. Contact: wwfootclinic@gmail.com
PRACTICE FOR SALE – NEW JERSEY
Turn key podiatric practice in 2 locations in beautiful Ocean County NJ. Full privileges @ 4 hospitals. Participate in all insurances. 3 staff, in-house billing. Full X-ray 1 DPM employee (1099). All equipment & peripherals. Drkachmar@icloud.com or 732-604-4282
PRACTICE FOR SALE - TREASURE COAST, FL
Treasure Coast (Martin/St. Lucie County). 40 YO part-time general practice 2 locations grossing average 200K. Please no brokers email practiceforsaleflo@comcast.net with phone number for information.
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| Disclaimers |
Acceptance and publication by this newsletter of an advertisement, news story, or letter does not imply endorsement or approval by Barry Block or Kane Communications of the company, product, content or ideas expressed in this newsletter. Podiatric Medical News does not represent the views, and is a separate entity from Podiatry Management® Magazine and Podiatry Management® Online. Any information pertaining to legal matters should not be considered to be legal advice, which can only be obtained via individual consultation with an attorney. Information about Medicare billing should be confirmed with your State CAC.
THIS MESSAGE IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR
ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS
PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE.
If the reader of this message is not the intended recipient or an
employee or agent responsible for delivering the message to the
intended recipient, you are hereby notified that any dissemination,
distribution, or copying of this communication is strictly
prohibited. If you have received this communication in error, please
immediately notify me and you are hereby instructed to delete all
electronic copies and destroy all printed copies.
DISCLAIMER: Internet communications cannot be guaranteed to be
either timely or free of viruses.
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