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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 22,013 Subscribers Daily
August 13, 2024 #7,827  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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| ANNUAL SURVEY NOW ONLINE - WIN VALUABLE PRIZES |
Congratulations to Dr. Kaitlin Dickert Gonzales of Cranford, NJ, winner of last week's prize of a Dermlite GL dermatoscope (value $395) sponsored by McClain Laboratories. We encourage you to participate in this year's important annual survey. Completing this anonymous survey provides us with valuable data, which we will publish in the February 2025 issue of Podiatry Management. It also makes you eligible to win thousands of dollars worth of valuable prizes. Enter by completing this anonymous survey and providing your e-mail address in the comments section on the last page of the survey. The earlier you enter, the more chances you have to win. To begin survey, click here.
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ShoeZap® 15 Minute UV Shoe Sanitizers |
***This is also your opportunity to vote for the next DPM and non-DPM inductees into the PM Podiatry Hall of Fame. To begin survey, click here.
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| STATE PODIATRY NEWS | |
Governor Re-Appoints KY Podiatrists to State Board
Gov. Beshear has re-appointed Thomas Childress, DPM and Paul Krestik, DPM to the State Board of Podiatry to serve for terms expiring June 29, 2028. Dr. Thomas Childress of Louisville is a podiatrist at Norton Healthcare. He continues to represent the Kentucky Podiatric Medical Association as a member of the Board.
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(L-R) Drs. Thomas Childress and Paul Krestik |
Dr. Paul Krestik of Lexington is a podiatrist at Bluegrass Regional Foot & Ankle Associates. He continues to represent the Kentucky Podiatric Medical Association as a member of the Board.
Source: The Lane Report [8/9/24]
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| PODIATRISTS IN THE COMMUNITY | |
MO Podiatrist Joins The Foot Doctors
The Foot Doctors, a Springfield podiatric care and surgery provider has announced that Emily Barnes, DPM has joined the practice. Dr. Barnes is board eligible in both foot and ankle surgery by the American Board of Foot and Ankle Surgery. She is affiliated with Cox Medical Center and Mercy Regional Health Center.
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Dr. Emily Barnes |
Professional memberships include the American Podiatric Medical Association, the Missouri Podiatric Medical Association, and the American College of Foot and Ankle Surgeons.
Source: AOL.com [8/11/24]
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| MEETING NEWS | |
Podiatric Medicine & Surgery Section of NMA Holds Annual Convention
This year's The National Medical Association (NMA) Annual Convention was held in Manhattan, NYC, August 3-7. NMA is both the nation's oldest and largest non-profit organization, representing African American physicians and health professionals in the United States. The Podiatric Medicine & Surgery section has been the fastest growing section of NMA for over ten years! The Podiatric Medicine & Surgery section's robust program included hands-on surgical skills workshops, a live-streamed surgery, a visit and a roundtable discussion with students from both the New York College of Podiatric Medicine and Temple University School of Podiatric Medicine engaging tomorrow's podiatric physicians with a glimpse into their future.
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(L-R) Drs. William Long, DPM, (Trustee, APMA), Adrienne Atkinson-Sneed, (Co-Scientific Chair) and Lawrence Santi, (APMA President) |
The hallmark of the program was the great success of the second Annual Limb Preservation Symposium & Town Hall; a multi-disciplinary, forum-based platform, focusing on medical, surgical, and legislative approaches of tackling the disparities of lower extremity amputations in marginalized urban and rural communities nationwide. Experts representing podiatric medicine & surgery, general surgery, vascular surgery, interventional cardiology, emergency medicine, community health & preventive medicine, infectious disease, radiation oncology, endocrinology, and Capitol Hill engagement presented to an engaged and packed audience.
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| PODIATRISTS AND SPORTS | |
IN Podiatrist to Swim in the Chicago River Swim For ALS
Paul Sommer, DPM of Valparaiso, IN will be one of only 500 swimmers from around the country and the world on September 22nd to participate in the inaugural racing of the Chicago River Swim. It is a 2 mile race in downtown Chicago to raise money for ALS "Lou Gehrig's Disease" research to find the cause and cure for this terrible neuromuscular disease. Dr. Sommer will represent Indiana and podiatry in this exciting and important swimming event.
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Dr. Paul Sommer |
The last races to be held on the Chicago River were won by the likes of Johnny Weissmueller, Olympic gold medal swimmer in the 1920s, who went on to play Tarzan in the movies. This race in September will revive the great Chicago River legacy!
Source: IPMA Podiatry Post [8/9/24]
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
5 Commonly Overlooked Cybersecurity Practices in Fast-Growth Specialty Groups
While there are more than five best practices that specialty provider groups should have in place, the following are commonly overlooked or completed haphazardly.
3. Leverage a recognized cybersecurity framework
Healthcare providers should leverage recognized cybersecurity frameworks like the National Institute of Standards and Technology’s (NIST) Cybersecurity Framework (CSF) and HHS’s 405(d) Health Industry Cybersecurity Practices (HICP), which offer best practices to create strong and resilient cybersecurity practices that are reasonable and appropriate for their organizations, are known to safeguard organizations from the rapidly changing threat landscape, and beneficial for demonstrating conformance with cybersecurity practices with regulators or if subject to litigation.
The Cybersecurity Framework (CSF) 2.0 is designed to help organizations of all sizes and sectors to manage and reduce their cybersecurity risks. The NIST CSF describes desired outcomes intended to be understood by a broad audience, regardless of their cybersecurity expertise.
Source: Steve Cagle, Scott Dever, Physicians Practice [7/30/24]
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| QUERIES (CODING & BILLING) - PART 1A | |
From: Michael G. Warshaw, DPM, CPC
In order to appropriately address the posted scenario, it is important to access the 2024 CPT Manual. Under Surgery Guidelines, you need to access the “Foreign Body/Implant Definition.” Foreign Body/Implant Definition:
• “An object intentionally placed by a physician or other qualified health care professional for any purpose (e.g. diagnostic or therapeutic) is considered an implant. An object that is unintentionally placed (e.g. trauma or ingestion) is considered a foreign body. If an implant (or part thereof) has moved from its original position or is structurally broken and no longer serves its intended purpose or presents a hazard to the patient, it qualifies as a foreign body for coding purposes, unless CPT coding instructions direct otherwise or a specific CPT code exists to describe the removal of that broken/moved implant.”
If Implant Needs to be Removed (i.e. Internal Fixation):
• 20680 Removal of implant; deep (e.g., buried wire, pin, screw, metal band, nail, rod or plate)
If Foreign Body is Removed:
• 28190 Removal of foreign body, foot; subcutaneous
• 28192 Removal of foreign body, foot; deep
• 28193 Removal of foreign body, foot; complicated
Based upon the location and position of the broken K-wire described within the post, the most appropriate CPT code to bill is CPT code 28190 appended by the T2 or the T7 Modifier depending upon whether it was the left 3rd toe, or the right 3rd toe that was involved.
Michael G. Warshaw, DPM, CPC, Mount Dora, FL
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| QUERIES (CODING & BILLING) - PART 1B | |
From: Steven Berkey, DPM
According to my understanding of the guidelines, a K-wire that's broken and not performing the function for which it was intended now becomes a foreign body. The appropriate way to bill would be removal of a foreign body (deep) with a -78 modifier.
Steven Berkey, DPM, Plano, TX
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Vincent Gramuglia, DPM
I am happy that Dr. Rubin brought up this false advertising regarding orthotics. If you ever listen to The PGA station with Michael Breed in the morning on Sirius radio you will have heard the Pine Valley orthotic commercial. I cannot express more emphatically how this ad ruins my day. Owner and “Inventor” Stu Sachowitz even features Michael Breed, who is usually a very measured and thoughtful broadcaster/golf instructor, on the Pine Valley bandwagon. These $99 over-the-counter inserts have the magical power to cure everything from plantar fasciitis to scoliosis and herniated discs. And by the way, they will Instantly cut your handicap In half. Stu says that if he can’t help you, he will gladly refund your $99.
He doesn’t care what size your feet are, whether they are flexible or rigid, pes planus, cavus, vertical talus, club foot... his “orthotics will correct the problem and make you a better golfer!” I don’t understand how companies like this are able to get away with these claims. Is this practicing medicine without a license? Did anyone in Pine Valley wonder if the lower extremity pain could be due to peripheral vascular disease or if the back pain was due to a spinal deformity or neoplasm? These miraculous claims are made without any evidence-based reasoning and are an insult to those of us who base our treatments on a sound history and physical and a knowledge of podiatric biomechanics. I’m sure that if a licensed healthcare provider made such claims, they might at minimum receive a phone call from their state society, or even visit from their medical board.
Vincent Gramuglia, DPM, Bronx, NY
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| RESPONSES/COMMENTS (OBITUARIES) | |
From: Tilden Sokoloff, DPM
Frank was the essence of the Jewish word "mensch." In 1967, I received a telephone call that literally changed my life and Francine's life forever. Frank (Known as Don) along with 3 other stellar East Bay Doctors of Podiatric Medicine called to tell me that I was chosen to be their 1967-68 resident...Wow life-changing for a Philadelphia boy in a world where residency programs were scarce.
They started and literally ran the residency program at Highland General Hospital in Oakland California, a large County Hospital and Trauma Center. Henri L. DuVries was Chief of Foot Surgery. Roger Mann was a 3rd year orthopedic resident. It was no easy feat to...
Editor's note: Dr. Sokoloff's extended-length letter can be read here.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE Outrageous Shoe of the Day
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What to wear in Legoland? |
Source: Naäm Ben via Virtual Shoe Museum
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MEETINGS & WEBINARS
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
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Earn 15 CECH only $299
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All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MI, MI, MS, NV, NJ, NM, ND, OH, OR, PA, RI, SC, SD, UT, VA, VT, WV, and WI
Partial required credits can be taken online for AZ, FL, GA, ID, KY, IL, ID, IA, MD, MN, MO, MT, NE, NH, NY*, NC, OK, PR, TN, TX, WA, and DC
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 21,900 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
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 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 – MASSACHUSETTS
Well-established, well-rounded hospital-based group practice located just North of Boston seeking full-time DPM. Applicant must be ABFAS Board Qualified/Certified, well-trained with interest in wound care and limb salvage. We are well integrated within the medical community and are active in both hospital in-patient care and out-patient clinic. Excellent referral base and high volume of new patients. Excellent compensation and benefits package. Outstanding opportunity for qualified candidate. Please email CV to footdocsma@gmail.com
ASSOCIATE POSITIONS - WASHINGTON STATE
Join our well-established podiatric practice in the vibrant Seattle, WA, area, with decades of commitment to exceptional patient care and a supportive team environment. Qualifications: Board Certified/Eligible in Podiatric Surgery. Valid Washington state medical license (or ability to obtain one) Benefits: Comprehensive benefits package. PTO and CME allowances. Retirement plan with employer matching Opportunities for professional growth and development. How to Apply: Please send your resume, cover letter, and references to employmentdpm101@gmail.com
ASSOCIATE POSITION – CONNECTICUT
Think you're different? So are we! Dive into a podiatry practice where innovation steps beyond tradition. Join Our Thriving Practice in Scenic Stamford (Fairfield County), Connecticut! Are you a dedicated podiatrist looking to significantly impact a community that truly values health and wellness? Our state-of-the-art podiatric clinic seeks a skilled and compassionate podiatrist to join our dynamic team. This is a rare opportunity to advance your career in one of the most vibrant and picturesque areas of the Northeast. Please send your resume and a cover letter detailing why you’re the perfect fit for our team to JoinOurPractice.com
ASSOCIATE POSITION – CENTRAL NEW HAMPSHIRE
Well established three doctor, two location practice looking for a full-time associate. New Hampshire has vast natural resources with mountains, lakes, ocean and a great, stable climate for alpine and Nordic skiing, hiking, touring, running, cycling and fishing! One hour from Boston. Benefits include salary plus production bonus, ample PTO, health/dental/eye insurance, malpractice insurance, IRA plus match, CME allowance, dues and license fees, uniforms. Immediate opening. Send CV to wilbur844@gmail.com
FULL TIME AND PART TIME PODIATRIST - SOUTHERN CALIFORNIA
Los Angeles County and San Diego County. Leading mobile podiatry practice in California. The most competitive compensation due to our large network of doctors and low overhead. Unique opportunity with a flexible environment and support of a well-established healthcare team. Support of full office staff and AI tech. Great for new graduates, those with families or wanting to increase their revenue. Email info@anywherefootandanklecare.com
MOBILE PODIATRIST - SAN DIEGO
Barefeet Podiatry, Inc. (www.barefeet-podiatry.com) is seeking mobile podiatrists to see patients in their homes, ALF, & SNF. We offer a flexible schedule (Part-Time/Full-time), excellent monthly compensation, & dedicated support staff. You will have autonomy & focus on clinical care, while we take care of all scheduling, & administrative work. Electronic charting & all equipment/supplies are provided. New graduates or experienced practitioners are welcome! Inquires: barefeetpodiatry1@gmail.com
ASSOCIATE POSITION - SOUTH JERSEY
P/T- F/T Looking for an ethical, highly-motivated, personable team player, to join our well established group practice. PSR-24/36-trained, ABPS-certified/eligible individual proficient in all areas of podiatry including palliative care. Hospital privileges available. EMR, digital radiology, optical orthotic scanner, and EPAT. Great staff including x-ray techs. Competitive salary with incentives. Benefits (full time) include, health, dental, and malpractice insurance, 401 K, PTO, and CME allowance. Email CV and three references: JayBizFootDoc@Comcast.net
ASSOCIATE POSITION – VIRGINIA
Growing podiatry practice is seeking a high energy associate interested in providing care to multi senior living facilities as well as working into a partnership to own the practice in 2 to 4 years. The office is located in Annandale, Virginia. Great opportunity to add a surgical aspect to the practice as surgery is currently referred out. Compensation is personal productivity commission based. Please respond to: DrBreiner@AOL.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 POSITION FULL TIME AND PART TIME – NEW JERSEY
Incredible opportunity, well established group practice seeking a full-time and part-time associate to practice podiatric medicine in the Central Jersey area. Applicant must have a current NJ License, Board Certified/Qualified, and at least 1 year experience as a rendering provider. Please send letter of interest and CV to cherylm@njpodiatrygroup.com
ASSOCIATE POSITION - SOUTH JERSEY
P/T- F/T Looking for an ethical, highly-motivated, personable team player, to join our well established group practice. PSR-24/36-trained, ABPS-certified/eligible individual proficient in all areas of podiatry including palliative care. Hospital privileges available. EMR, digital radiology, optical orthotic scanner, and EPAT. Great staff including x-ray techs. Competitive salary with incentives. Benefits (full time) include, health, dental, and malpractice insurance, 401K, PTO, and CME allowance. Email CV and three references: JayBizFootDoc@Comcast.net
ASSOCIATE PODIATRIST - THE WOODLANDS, TX
ASSOCIATE POSITION – MULTIPLE POSITIONS AVAILABLE
Doctor of Podiatric medicine positions open for well-trained, highly motivated individuals. Competitive pay and benefits and great company culture. To see what is available please go to: https://summitfootankle.applicantpro.com/jobs/ or send your CV directly to laney@summitmedicalpartners.com
ASSOCIATE POSITION – AL, LA, TN, MS, GA, IL, FL , MO & CO
Aria Care Partners is seeking Mobile Podiatrists to work 1-2 days/week in skilled nursing facilities. You will have autonomy and focus on clinical care while we take care of all scheduling and billing. Guaranteed daily base rate plus competitive compensation. Electronic charting and all equipment provided. Make a true difference in an under-served population. New graduates or experienced practitioners are welcome! Email CV to: kcampbell@aria.care
ASSOCIATE POSITION - HUDSON VALLEY, NY
Busy podiatry office seeking surgically trained podiatrist. Office and wound care based practice with hospital in and outpatient settings and surgery center affiliation. Located in the Hudson Valley, 50 minutes north of NYC near major highways. Competitive salary depending on experience. ABFAS board certified/qualified and PMSR-RRA trained preferred. Please forward resume to Office@cappapodiatry.com
ASSOCIATE PODIATRIST – ATLANTA, GEORGIA
Ankle & Foot Centers of America invites a Board Qualified/Certified Foot and Ankle Surgeon to join our dynamic team in a bustling North-Atlanta suburb. This is an excellent opportunity for both newly graduated and experienced podiatrists. Step into a role with an immediate, substantial patient base due to a retiring physician. We pride ourselves on a collaborative work environment, competitive compensation, and ample opportunities for professional development. Be part of a practice that values excellence in patient care and team collaboration. Interested candidates, please forward your CV to JoinUs@ankleandfootcenters.com
ASSOCIATE POSITION – ANCHORAGE, AK
Outdoor enthusiast’s dream! Busy, well-established single physician podiatry practice in affluent area of Anchorage is seeking full-time podiatrist. Candidate must be Board Qualified/Certified in Podiatric Surgery. Looking for a caring, dynamic, talented team player with an interest in long-term growth and partnership opportunity. Travel to remote satellite clinics required, with expenses covered by the practice. Benefits package includes competitive salary plus production-driven bonus, CME allowance, PTO, health/vision insurance, 401(k) + employer match, malpractice coverage, and uniform allowance. Opening for immediate hire but willing to wait for the right person. Interested candidates send CV to info@ancfoot.com
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 – MONTGOMERY COUNTY, 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. Full benefit package available. Please email CV to footanklerecon@gmail.com
ONE YEAR FELLOWSHIP IN LIMB SALVAGE/FOOT RECONSTRUCTION
Starting 08/01/2025 in Calgary, Alberta. > 4,000 surgical cases annually. See www.zivotlpc.ca (Collaborate with us, Fellowship) for details. Please email required documents (letter of intent, 3 references, CV) to Program Director, Alisha Poonja (alisha.poonja@albertahealthservices.ca) and Section Chief, John Toole (john.toole@albertahealthservices.ca) by 09/01/2024 for consideration.
WOUND CARE FELLOWSHIP - NEW YORK
CPME APPROVED 12 month fellowship, located at St. John's Episcopal Hospital in Queens, New York. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, general, vascular, and podiatric surgeons. -The wound care fellowship position pays a 6 figure salary for the year, 4 weeks of paid vacation, personal days and paid health benefits. Please contact or jtfootcare@gmail.com
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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 21,900 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details
PRACTICE (PART-TIME) FOR SALE- FORT LAUDERDALE, FL
Looking to sell practice in an Urgent Care Center and /or adult living facility practice. Large population draw. Ideal for new practitioner, 2nd location or to build as a primary location. Hospital privileges available. Retiring from practice after 37 years. spe10301@gmail.com
PRACTICE FOR SALE - DESIRABLE BOCA RATON, FL
This established practice has been busy since the 1980s. First floor office space with four treatment rooms, modern and remodeled office. The practice was recently updated with new equipment such as chairs and digital x-ray. Office either leased or purchased with the practice. The location is on the campus of a busy hospital. Well-rounded podiatry pathology and good payor mix. Serious inquiries to Jsfootdoc@gmail.com
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, Padnet. In-house billing, well run. Located within a mile from hospital. Owner is willing to stay as necessary during transition. Contact drwaw54@aol.com
FOR SALE: ESTABLISHED PODIATRY PRACTICE - SALISBURY, NC
Looking to expand or start your own practice? Well-established podiatry clinic with a 30-year history is now available. Located on a prime corner lot with private parking, it offers convenience and visibility. With part-time operation and high demand, there's significant growth potential. Ideal for a podiatric surgeon to make a mark in a community with limited competition. CLICK HERE to complete the interest form and learn more!
PRACTICE FOR SALE - SOUTHERN CA - SOUTH BAY REGION OF LA
Established practice for sale. Owner is planning to retire and transition. Fully staffed and equipped practice. Opportunity to acquire turn-key operation. Priced to sell. Contact: MCrosby518@gmail.com
MEDICAL EQUIPMENT FOR SALE
Podiatry chairs available. Midmark 117 and PDM. Misc items: Autoclave (Pelton Crane), cast cutter and instruments. Email: fcgdrsharlin@comcast.net.
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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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