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| PM News | |
The Voice of Podiatrists
Serving Over 22,083 Subscribers Daily
October 17, 2023 #7,607  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2023- 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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Do you use platelet-rich plasma injections in your practice?
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| IN YOUR MAILBOX SOON | |
We've just mailed the October 2023 issue of Podiatry Management. The cover story is titled," Discovering Your Niche: The Lifestyles of Young Podiatrists." In addition, you'll find our usual assortment of columns and features.
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October 2023 Podiatry Management |
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| PODIATRISTS IN THE COMMUNITY | |
CA Podiatrist Joins Regel Foot and Ankle Associates
Jonathan J. Pirak, DPM recently joined Regel Foot and Ankle Associates in the Los Angeles Metropolitan Area. Dr. Pirak earned his podiatric medical degree at the Temple University School of Podiatric Medicine.
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Dr. Jonathan Pirak |
Dr. Pirak completed his podiatric residency at Trinitas Regional Medical Center in Elizabeth, New Jersey followed by an Encino Specialty Surgery Center Sports Medicine Fellowship.
Source: Linkedin
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| ON THE INTERNATIONAL LECTURE CIRCUIT | |
CA Podiatrist Keynotes at Diabetes Feet Australia Symposium
ALPS Founding President Prof. David G. Armstrong delivered a keynote address at the Diabetes Feet Australia Symposium held from 8-10 October in Sunshine Coast, Queensland. The event, chaired by Dr. Byron Perrin, Associate Dean-Academic Partnerships for the La Trobe Rural Health School, La Trobe University, and Chair of Diabetes Feet Australia, saw participation from experts across all Australian states.
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(L-R) Drs. David Armstrong, Dane Wukich, Byron Perrin, and Katherine Raspovic |
The symposium served as a platform for the exchange of groundbreaking ideas and the latest research findings in the field of diabetic foot care.
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Six Back Office Billing Strategies
2) Reconcile encounter forms and bill claims daily.
• If there are any questions about the services rendered, seek clarification from the provider. Your billers should be knowledgeable about appropriate modifiers and when to use them.
• Make sure your billers are submitting clean claims. Clean claims get paid the first time around and stand up to a potential audit.
Source: Avery Hurt, Logan Lutton, Physicians Practice
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| QUERIES (NON-CLINICAL) | |
Query: Scanning Paper Charts
I am preparing for eventual retirement and need to scan paper patient charts to facilitate storage of patient records for the mandatory 7-year period of time. I plan to use a multipage feeder desk top scanner and external drive for storage and easy transport. It will probably take my staff a year to accomplish this by transferring charts between patients during office hours. Any better ideas would be appreciated. I am an old dog and not computer savvy. Hence, the paper charts.
John Moglia, DPM, Berkeley Hts, NJ
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Stanley Beekman, DPM
In the rare cases of plantar fasciitis which were non-responsive to conservative care, I would get an MRI which would show: bone marrow edema, mucoid degeneration of the plantar fascia, and partial tearing. The procedure I would use removes the calcaneal spur to treat the bone marrow edema, then I would inject the platelet gel (spun down at the hospital) into the plantar fascia.
The initial mistake I made was not immobilizing the patient post-op. I found that 3 days off-weight-bearing and then the use of a CAM walker for a month was required.
Stanley Beekman, DPM (Retired), Avon Lake, OH
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
RE: Proper Blade for Debridement of Calluses
From: Ivar E. Roth DPM, MPH
I called my son, a third-year student at Temple, and asked him about his clinic experience with routine care. I was shocked at his answer. He said that it is okay and standard to use a disposable dermal curette for corns and calluses. I asked him if the clinicians were okay with this, and he said yes. He told me that using blades were too unpredictable and they wobbled and caused cuts. I am sending him a #20 handle and some #20 carbon Rib-Back blades which do not flex so he can properly do the job.
Now I can understand why the newer practitioners are shying away from C and C. If this is the new standard of care now, I understand what is going on. I think we need to make sure that the schools are teaching our students proper protocol and using the proper instruments for routine care. There is nothing like a #20 Rib-Back to do a GREAT job on calluses.
Ivar E. Roth DPM, MPH, Newport Beach, CA
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| RESPONSES/COMMENTS (OBITUARIES) - PART 1 A | |
From: Harold W. Vogler, DPM
I am so very disappointed to learn of Gary's death. He was one of my surgical residents dating back to 1978 at Harrison Community Hospital in Michigan. He was recognized as something "special" even then. He had a keen analytical mind and questioned just about everything, but in a positive academic manner. Ultimately, I recruited him to the Dept of Surgery at PCPM mid-1980s. He quickly became a favorite of the students and staff. He demonstrated an affinity to teach students and residents, with a mild manner and style that was unique. As a result, he was awarded "professor of the year" several times.
His precise surgical style in the OR was measured, calm and controlled, and allowed an exceptional learning experience for students and residents alike. He spent hours in the dissection laboratory detailing and photographing almost all surgical procedures, to facilitate teaching. I think the entire surgical department learned much from Gary. I often quietly entered his classroom while he was in action to watch and learn from him.
Gary's personal and professional demeanor was also something special--understated and engaging for sure, but precise all the time. His life consisted of the study of podiatric surgery, sailing, and the animals of his "farm". We became the closest of friends in and out of the OR. He was one of my most trusted confidants, always providing me sage guidance on a variety of matters. I am happy that I have many incredible stories and memories of Gary. He made me a better surgeon. I will miss him. My condolences to his family. RIP.
Harold W. Vogler, DPM, Sarasota, FL
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| RESPONSES/COMMENTS (OBITUARIES) - PART 1 B | |
From: Elliot Udell, DPM
Gary and I knew each other well. We both lectured for many years at the No Nonsense Podiatric Seminar in Cleveland, Ohio. Gary was a full-time professor of surgery and lectured on the latest surgical procedures. He was also a student and protégé of Dr. Harold Vogler who also was a professor at Temple, and he would often quote Dr. Vogler's extensive surgical research in his lectures.
Gary had a great sense of humor and was a real people person. He would spend a great deal of time at the seminar, after his lecture, being with the other participants. You got the feeling when you spoke with Gary that he listened to you, and that form of empathy is admirable. We lost a good person and may his memory be a blessing to all who knew him.
Elliot Udell, DPM, Hicksville, NY
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| RESPONSES/COMMENTS (PM NEW QUICK POLLS) | |
From: Robert G. Smith DPM, MSc, RPh
I would like to thank PM News for posting this survey question as well as the 373 respondents. Perhaps APMA will have an opportunity to address this question at their House of Delegates meeting if/when a resolution with this central theme is presented. I appreciate the fact that a change in curriculum may increase the cost for the program.
Given there is no national oversight for the opioid settlements, there is state oversight. My research has revealed that funds will be set aside for medical post-graduate training for safe opioid prescribing, monitoring, and detection of substance use disorder in some states. I believe our podiatric profession should share in these funds. I have written to each attorney general, acting as the founder/president of my educational non-profit (501(c)(3), inquiring about an accounting of opioid settlement distribution.
Robert G. Smith DPM, MSc, RPh
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Foot Typing
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Not seen in podiatric literature. |
Source: Leanne Edermaniger, Atlas Blog via Dr. Joseph Borreggine
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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 $279 (less than $19 per CECH)
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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 – GRAPEVINE AND KELLER TEXAS
Successful, well rounded multi office podiatry practice with laser, digital x-rays, diagnostic ultrasound, and ancillary services including a shoe store and on-site physical therapy: seeking highly motivated, hard-working podiatrist proficient in surgery as well as sports medicine and biomechanics. Compensation includes base salary + production bonus. Our clinics are located in Grapevine and Keller, Texas – in the heart of the DFW metroplex. Send CV to nstickney5@gmail.com
FULL-TIME PODIATRIST NEEDED – AUGUSTA, GA
Well-established (general podiatry) practice seeking a surgical Podiatrist. Skilled in forefoot surgery (at minimum). Ongoing mentorship to foster professional growth. Will cover our growing Grovetown and Martinez offices. No nursing homes, Modern offices/technology, Streamlined Workflow. Ownership options available. base salary/bonus/benefits/malpractice/continuing education. Confidential. Contact info: HR@26Medical.com www.26FootandAnkle.com
FULL-TIME PODIATRIST - LOS ANGELES
Join a well-established multi-location group practice. Participate in residency training and clinical research. Must be well trained in reconstructive surgery, trauma, and limb preservation. Send CV to podiatricri@yahoo.com
ASSOCIATE POSITION - CT (FAIRFIELD, GREENWICH, AND NORTH HAVEN)
Full time position available immediately. 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 - BERGEN COUNTY, NJ
Curalta Foot & Ankle, with locations throughout the tri-state area, is hiring a Podiatrist. The ideal candidate should have 3 years of post-residency experience with board qualification by ABFAS a plus. This individual should practice evidence-based medicine and have strong ethical character and excellent bedside manner. This opportunity offers long-term growth and stability, including equity in the practice. The group will provide the candidate with resources to succeed, including mentoring, education, marketing, and growth opportunities. We offer a full employment package including competitive salary, malpractice and health insurance, 401(k), CME allowance. Email: doctorinquiry@curalta.com
CUSTOM FOOT FITTING AND ORTHOTICS PRACTICE FOR SALE- NEW HAMPSHIRE
30+ year practice solving the most difficult fit and performance problems for skiers, snowboarders, runners, cyclists, golfers, and bikers. Extensive client list and exclusive ski boot manufacturer database representing over 350 ski boot models. Professional staff in place. Huge referral network. Over $350K gross sales. Seller to train. Contact: jpolimeno@sunbeltnetwork.com
POSITION AVAILABLE - ELGIN, IL
We have a busy and well-established practice seeking a podiatrist to join the team. Applicants must be proficient in both surgical and non-surgical aspects of podiatry. Competitive compensation offered including bonus structures, CME, association fees, malpractice, vacation and more. Send CV to efapodiatry@gmail.com
ASSOCIATE POSITION AVAILABLE - SUFFOLK COUNTY, NY
Multi-office podiatry practice in Suffolk County, NY actively seeking full time/part time associates, with partnership opportunity. New York State license required. Must be self-motivated and energetic. Competitive compensation package, paid time off, 401K retirement plan. Email CV to newpodiatrist@optimum.net
ASSOCIATE POSITION - PROVO, UT
Immediate Doctor of Podiatric medicine position for a well-trained, highly motivated individual. Location: Provo, Utah. Competitive salary with commission structure. Benefits include: PTO, CME allowance, health and malpractice insurance. Must be confident in surgical and wound care practices. Please email Cover Letter and CV to laney@summitmedicalpartners.com
ASSOCIATE POSITION - KNOXVILLE, TENNESSEE
Growing practice seeking a podiatric surgeon in desirable East Tennessee! Will be busy immediately. Updated EMR and well-trained support staff. Practicing/24’ graduates welcome to apply. Salary/Bonus/Benefits/Pathway to ownership. No call/nursing homes. Lakes, Mtns, and any lifestyle activities you desire within the greater Knoxville area. Please send resumes to TennFAC@gmail.com
ASSOCIATE POSITION – ST. GEORGE, UTAH
Immediate Doctor of Podiatric medicine position for a well-trained, highly motivated individual. Location: St. George, Utah. Competitive salary with commiss7on 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 POSITION – CHICAGOLAND
Join our Chicagoland clinic as a full-time podiatrist! Experience the rewards of a thriving practice with competitive compensation, an excellent patient base, a streamlined clinical workflow, and a collaborative, supportive team. Great mix of surgery and sports med, full clinic hours. Contact us at psapodsurg@gmail.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 salary, generous guaranteed bonus structure, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and CME time off. Great prospects for experienced doctors as well as new Associates. This is an excellent opportunity to expand your podiatric medical and surgical experience in an office-based practice! If interested, please submit your CV to DrSamofal@PodiatryCenterNJ.com
ASSOCIATE POSITION – MIDTOWN MANHATTAN
Looking for a full time/part time Podiatric Associate for a busy Midtown practice Please email CV to amaltese2185@yahoo.com
ASSOCIATE POSITION – ST. LOUIS, MO
Are you unhappy in practice? Established podiatry practice in St. Louis suburb looking for a full-time, experienced, motivated and caring doctor to join our busy practice. Must be BC. Competitive six-figure salary with bonus structure. Opportunity for ownership. Independent, office-based practice. Amazing opportunity! Must be available now. If interested, please submit your CV to stcpod@att.net or call Edward Stein, DPM 314-565-2739
ASSOCIATE POSITION – LOS ANGELES, LONG BEACH OR ORANGE COUNTY
We are seeking a podiatrist to join our rapidly expanding and outstanding network. The ideal candidate will provide top-notch, mobile-based care for podiatric issues to our patients in either the Los Angeles, Long Beach or Orange County areas. Enjoy the perks of being your own boss with a flexible work-life balance, ability to set your own schedule and highly competitive compensation. We offer both full-time and part-time opportunities, primarily conducting home visits and serving luxury retirement communities. Our complete office support ensures smooth operations for optimal patient care. A current CA license is required. Please email your CV to: info@anywherefootandanklecare.com
IMMEDIATE FULL-TIME OR PART-TIME ASSOCIATE POSITION AVAILABLE- CHICAGO IL
Seeking full-time or part-time associate to work in a well-established three-office podiatry practice in Chicago with on-site Joint Commission accredited office-based surgical facility. Must be reliable, personable, and self-motivated. Board qualified or board-certified DPM with surgical residency with excellent references preferred. Competitive compensation package with bonus structure and benefits available. Spanish speaking a plus. Please forward CV via email to mddpm2@gmail.com or call 773-230-7526
ASSOCIATE POSITION - CHICAGO SUBURBS
Looking to hire Summer 2024. Thriving podiatry practice in Chicago suburbs looking for an associate to take practice to the next level. Must be highly motivated and have the ability to WOW our patient with your charismatic personality and professionalism. This is an excellent opportunity to work in a state-of-the-art office (which includes MRI) with a team-oriented culture. 3-year surgical residency required. Submit CV to jswalter@hotmail.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 - FLORIDA
PT to possible FT mobile positions throughout sunny Florida for responsible DPM team players. Primarily home visits and ALF/ILF's. No call. No ER. Flexible 9-5. Weekends optional. Generous commission salary. Great for new grads, semi-retired, or those looking to help fill their schedule. Serious applicants email contact@PodiatristAtHome.com
ASSOCIATE POSITION - ASHEVILLE/HENDERSON NC AREA
US Foot and Ankle Specialists (USFAS), one of the largest podiatric groups in the United States is hiring! USFAS is looking for an experienced associate doctor to join our team in the Asheville/Henderson NC area. 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 FOR FELLOWSHIP TRAINED IN PODIATRIC TRAUMA/SURGERY – BEAUTIFUL SUBURBS OF NYC
Looking to grow and be challenged and get Board-Certified? Our Associate Mentorship Program in our well-established practice will help you achieve your goals. High-Volume Surgery, modern equipment, with great work culture. ABFAS BQ/BC required. Competitive Salary + Bonus, PTO, Paid Vacations and Paid Holidays, Retirement Plan with Employer Matching, All Professional Fees Paid, Generous Signing Bonus. Income: $275,000 - $350,000. Send CV to: linchpindpm@yahoo.com
ASSOCIATE POSITION – BECKLEY AND CHARLESTON, WEST VIRGINIA
US Foot and Ankle Specialists (USFAS), one of the largest podiatric groups in the United States is hiring! USFAS is looking for an experienced Associate Doctor that has a specialty in surgery and rear foot to join our team in Beckley and Charleston, 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. Please send a cover letter and resume to recruiting@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed.
IMMEDIATE POSITIONS – FLORIDA AND 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 Florida and South Carolina. Monday through Friday schedule, competitive wages, malpractice insurance, and benefits for full-time employees. Email CV to Kgadmin@kghealthpartners.com
FULL-TIME or PART-TIME PODIATRIST - DALLAS/FORT WORTH AREA
Multi-office group looking to hire driven podiatrists 5 multispecialty offices in DFW. We have Digital x-rays, laser, store front, physical therapy and more. Easily would make 200k on the low end. Send CV to Cnunez1940@gmail.com (Texasfootdoctor.org)
ASSOCIATE POSITION - CHARLOTTE, NC
Associate physician position open immediately to join our team! Expanding Charlotte metro area podiatry practice looking to hire a full-time podiatrist with significant growth potential. We have 4 locations and 5 doctors. Our podiatrists treat all aspects of foot and ankle pathology, in all age groups. We offer medical, disability, 401 K, malpractice, CME, and a highly competitive base salary with production incentives. BC or BQ status required. Please email CV to footdocs@carolinapodiatry.net
ASSOCIATE POSITION – LANGHORNE / BUCKS COUNTY
Full and Part time available. Seeking highly motivated candidate with confident surgical skills to join highly esteemed, diverse practice with 2 offices. High volume surgical practice. 2 different hospital systems. Long-term potential/partnership. Salary + Bonus, 401K, malpractice, vacation, CME. Send resume to bucksfoot@gmail.com
ASSOCIATE POSITION - CALGARY, CANADA
We are looking for a podiatrist comfortable with all aspects of the profession, ranging from foot care to surgery. We have four exam rooms and an in-office surgical suite. Must be able to practice in Canada. Well-established podiatrists and new residency graduates encouraged to apply. Please contact lalani@alpinefootankle.com
ASSOCIATE POSITION – NEW YORK CITY BOROUGHS
Busy and rapidly expanding practice looking for a full time associate. Multiple locations in Queens, Brooklyn, and Staten Island, Bilingual preferred. Opportunity to take call with several podiatry programs. Great balance between surgery and medicine. Ideal for recent graduates. Competitive compensation. Please submit CV to careersmobilepodiatry@gmail.com
ASSOCIATE POSITION – NORTHERN CALIFORNIA SOUTH BAY AREA
Well established podiatry practice seeking to hire a full-time podiatrist. Candidate will be able to treat all aspects of foot and ankle pathology. We offer Medical, 401 K, malpractice, CME, Highly competitive based salary with potential for partnership. Please email CV to lgfootcntr@aol.com
ASSOCIATE POSITION - PENNSYLVANIA
Multi-doctor, multi-office, podiatric practice looking for a full-time Associate to support growing practice with patient demand. Candidate must be highly motivated, team-oriented, hardworking, and exhibit excellent bedside manner. Competitive salary (base + bonus) offered with benefits. Must be actively seeking Board Qualification or already Board Certified. email CV to: brhodes.podmed@gmail.com
MULTIPLE FACULTY POSITIONS – UTRGV SCHOOL OF PODIATRIC MEDICINE
The School of Podiatric Medicine at The University of Texas Rio Grande Valley (UTRGV) is hiring! We are accepting applications for multiple faculty positions to begin employment in late Fall 2023/Spring 2024. • Assistant Professor School of Podiatric Medicine - Podiatry Physician and Surgeon: https://apptrkr.com/4678389 • Assistant Professor School of Podiatric Medicine - Podiatry Physician and Surgeon: https://apptrkr.com/4678407
CLINICAL FACULTY POSITION – UNIVERSITY OF ALABAMA AT BIRMINGHAM (UAB)
Join 3 DPMs and 7 Vascular Surgeons in a robust multi-disciplinary limb-salvage program with practice locations at UAB and the Birmingham VA. Practice includes a dedicated NP, clinical nurse and scheduler support. Send cover letter and CV to: Dr. Adam Beck, Division Director of Vascular Surgery at awbeck@uabmc.edu
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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 - SUBURBAN MINNEAPOLIS, MN
Busy, 41 year old solo practice. Large modern clinic. Huge patient list & population draw. Close to surgery centers. Grossing over 500K with only 24 clinic hours per week. Everything needed to produce immediate income. Unlimited potential. Wonderful area to live and practice. Affordable. Easy financing. Will stay for transition. For more info: wwfoot4sale.com
PRACTICE FOR SALE – LANCASTER COUNTY, PA
3,000+sq.ft. beautiful podiatry office with 4 well-equipped exam rooms, digital x-ray, EMR, Q-Clear laser, enPuls radial shockwave device, centrifuge for PRP injections, diabetic shoe room, autoclave and ultrasonic instrument cleanser, orthotic 3D scanner, outsourced billing, free parking, handicapped accessible first floor location for sale. Contact PApodpractice@gmail.com
ORTHOTIC LAB FOR SALE
Established custom Foot Orthotic Lab for Sale in Berkeley Heights, NJ. State-of-the-art CAD/CAM technology. Over 4500 doctors in our database. Great opportunity to expand your business/lab. If interested - Email: sherylfrasco@gmail.com
EQUIPMENT FOR SALE - ESWT MACHINE
EMS Swiss DolorClast Low Energy ESWT machine for sale with two handpieces and roll cart. One handpiece with full set of 600,000 shocks, second handpiece approx 200,000 shocks remaining. Needs a new compressor eventually but is fully functional. EMS trade-in valued at $5k. Buyer responsible for shipping or pick up. Contact Daryl at daryl.podiatristofnaples@gmail.com
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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.
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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
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distribution, or copying of this communication is strictly
prohibited. If you have received this communication in error, please
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