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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 20,000 Subscribers Daily
December 25, 2020 #6,840  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2020 - No part of PM News can be reproduced without the
written permission of Barry Block
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Merry Christmas |
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| PM NEWS QUICK POLL | |
LAST CHANCE TO VOTE
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How do you generally apply an Unna boot?
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| PODIATRISTS IN THE NEWS | |
MI Podiatrist Discusses Fungal Infections
Skin conditions can be hard to identify. Is it dermatitis or hives? A breakout or an infection? Because rashes may need to be treated a certain way, if you don't know what you have, you may inadvertently be making it worse. Athlete's foot, for example, which affects the feet and toes belongs to a family of infections known as tinea. “These warm, dark, moist areas create the perfect environment for fungus to breed,” says Crystal Murray Holmes, DPM, podiatrist in Canton, MI, and an associate professor at the University of Michigan.
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Dr. Crystal Holmes |
Your best bet for treating fungal infections are antifungal creams and oral medications, according to Cedars Sinai. Be sure to wash your hands before and after applying the creams to keep the fungus from spreading further. Cedars Sinai recommends preventing infection by drying skin folds, feet, and the groin area well, and wearing clean, loose-fitting underwear. “Wear socks made of microfiber, which is designed to wick moisture away from the skin,” Dr. Holmes says.
Source: Michele Bender, Everyday Health [12/10/20]
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| PODIATRISTS IN THE COMMUNITY | |
CA Podiatrist Joins Foot & Ankle Doctors, Inc
Jonathan J. Pirak, DPM recently joined Foot & Ankle Doctors, Inc. in Beverly Hills, CA. Dr. Pirak received his podiatric medical degree from the Temple University School of Podiatric Medicine.
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Dr. Jonathan Pirak |
Dr. Pirak completed a podiatric medicine and surgery residency with reconstructive rearfoot and ankle certification at Trinitas Regional Medical Center in Elizabeth, NJ and a fellowship in sports medicine at the Encino Specialty Surgery Center.
Source: Linkedin
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| INTERNATIONAL PODIATRISTS IN THE NEWS | |
Bahamas Podiatrist Provides Tips for Healthy Holiday Feet
"Did you know your feet can feel the effects of too much holiday cheer? Certain foods and beverages high in purines, such as shellfish, red meat, red wine and beer can trigger extremely painful gout attacks – especially in the big toe joint. This will definitely affect your holiday cheer. Moderation is key, and drink lots of water to help flush out your system to prevent gout," says podiatrist Monique Mitchell.
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Monique Mitchell |
"Don’t let foot pain ruin your holiday fun; inspect your feet regularly for any evidence of ingrown toenails, bruising, swelling, blisters, dry skin, or calluses. If you notice any pain, swelling, or signs of any problems, make an appointment with your podiatrist as soon as possible. Often, especially for people with diabetes, what may seem like a simple issue, can turn into a BIG problem if medical care is delayed too long," says Mitchell.
Source: Nassau Guardian [12/22/20]
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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 | |
Branding Tips for Medical Practices - Part 3
So what is your brand - and what do you want it to be? Here are four ideas that can help you meet your goals for branding, while minimizing wasted time, money, and effort.
3. Don't Try to Be and Do Everything
For physicians that have long sought to be the very best at everything they do (and often come close to it), it can be hard to resist the idea that their practices will fulfill every desire a patient might have from their specialty. However, it's likely you feel dubious when a person or organization tries to tell you they're able to do everything equally well - and it's no different for patients. What's more, when you promote the idea that you're great at everything, you make it hard for patients to remember exactly what's most special about your practice.
Narrow your brand messages down to a few key attributes that represent the service you want to provide. That will make your message clearer. You'll have a better chance of standing out and delivering on your brand's ideals.
Source: Joe Capko, Logan Lutton, Physicians Practice [12/10/20]
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| CODINGLINE CORNER |
Query: Coding Symptomatic Routine Footcare
I know that for patients to be qualified for at-risk foot care, they need a specific systemic disease and Q modifiers. Is it also true that symptomatic hyperkeratotic and symptomatic onychomycotic nail care is covered? And if true, proper coding of the HCFA 1500 would look like: listing the actual pathology in box 21 A, B as primary diagnosis and then supporting diagnosis (i.e. pain in toes or feet) as examined and documented.
For this example of symptomatic nails and calluses, would this be a covered Medicare benefit and appropriate way to code the visit?:
Box 21. (A. L84) (B. B351) (C. M79675) (D. M79674)
Box 24 Line 1) section D = 11055 section E. Diagnosis Pointer = A C D
Box 24 Line 2) section D = 11720 section E. Diagnosis pointer = B C D
Todd J Zang, DPM, Las Vegas, NV
Response: The short answer: line 2 will be paid, but not line 1. Almost all, if not all, insurance companies will pay for treatment of corns and calluses only in the presence of a systemic disease. Pain is not enough.
Katherine Sharp, Keystone Professional Solutions, Woodbury, TN
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
RE: To Fuse or Not to Fuse?
From: Bret M. Ribotsky, DPM
Over the past few months, I have noticed a significant change that has happened to the practice of podiatric surgery. It seems that the goal today is to electively fuse joints. It was not that long ago that our profession, routed in a deep understanding of biomechanics, did all we could to avoid electively fusing joints. For example, procedures like the “Evans” have been replaced with CC fusions. First-line bunion surgery has jumped to Lapidis’ and even 1st MPJ fusions. Has human gait analysis, functional mechanics, or kinesiology changed?
I spent 28 years correcting functional aberrations and surgically restoring function. What I see today is a disregard for the principles upon which our profession developed. Great teachers like Schuster, Ganley, Laporta, Schoenhaus, Bernard, Jarrett, Young, Richie, Kirby, Phillips, Volpe, Wernick, Saxena, Bouche, and many, many more have stressed that once you fuse a joint, the joint above and below need to compensate. Has this changed? As a patient with a few fusions (from trauma), I can testify that compensation occurs. Once you fuse a joint in the medial column of the foot, the knee, hip, and lower-back compensate.
It has never been easier to video a patient walk (in slow motion), pre- and post-surgery, yet I never see it done in presentations. Why is the bedrock of our profession crumbling? I have a few ideas as to why, but I’ll wait to see what others think?
Bret M. Ribotsky, DPM, Boca Raton, FL
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| RESPONSES/COMMENTS (PODIATRISTS AND THE CORONAVIRUS PANDEMIC - PART 1) | |
From: Jeffrey Kass, DPM, Pam Hoffman, DPM
I applaud Dr. Hanna for all the work he has done for the NYSPMA and podiatry at large. But does the Governor seeing our profession as a health asset by allowing a podiatrist to give an influenza vaccine until Jan 12th at a “point of dispensing” and “under the supervision of a physician or certified nurse practitioner” when pharmacists do this during flu season on a regular basis. Does this display ANY recognition of podiatry as a public health asset? I’m not sure how this has any effect on podiatry at all.
Jeffrey Kass, DPM, Forest Hills, NY
Here I am giving a COVID-19 vaccine at Northern Westchester hospital today.
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Dr. Pam Hoffman (Right) |
Pam Hoffman, DPM, Katonah, NY
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| RESPONSES/COMMENTS (CORONAVIRUS PANDEMIC) - PART 1B | |
From: Joseph Martin Quezada, DPM
Within days after the application of Pfizer-BioNTech-mRNA, 2.79% were unable to perform normal daily activities, unable to work, or required medical care from a doctor or healthcare professional. I recommend that doctors review the CDC link and make informed decisions. (cdc.gov/vaccines/acip/) In addition, in 2011, the Supreme Court declared that all vaccine designs are "unavoidably unsafe" and "unavoidably defective" due to "unavoidable adverse side-effects" presumptively caused by defective vaccine "design." The Court held that, even where vaccines are free of "manufacturing" and "labeling" defects, they are nevertheless presumed to come with a risk of "unavoidable adverse side effects" caused by defective "design."
The Court ruled that: (1) "design defects" must be the cause of any and all vaccine injuries and deaths; (2) All "design defects" are unavoidable, along with the resulting harm. In plain English, all vaccines are "unavoidably unsafe" precisely because they are "unavoidably defective." The FDA has never even spelled out in regulations the criteria it uses to decide whether a vaccine is safe and effective for its intended use." [Bruesewitz vs. Wyeth LLC, (2011) 562 U.S. 223]. I would never get a vaccine shot nor give one! I trust in nature (God) and let nature take its course!
Joseph Martin Quezada, DPM, Laredo, TX
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| RESPONSES/COMMENTS (PM NEWS QUICK POLLS) | |
From: Leonard A. Levy, DPM, MPH
Drs. Allen Jacobs and Elliot Udell comment about the use of PT blocks in acute gout. Dr. Udell also remarks about the late Dr. Marvin Steinberg who employed PT blocks in treating acute gouty attacks. I spent a number of years in his office at least once a week which literally resulted in my love for podiatric medicine. The use of PT blocks was not only for anesthesia for virtually immediate relief from the acute pain, but also because it was a sympathetic nerve block.
This resulted in vasodilatation which created a dramatic increase in temperature as well as an increase in the flow of blood by blocking the autonomic nerve component. The increase in blood flow increased the volume of fluid to the area and since much of this fluid is water and a solvent, resulted in dilution of the supersaturated solution of monosodium urate. Reducing the sharp crystals of monosodium urate also results in increasing the pH (reducing acidity). Thus, these combined effects of a PT block make such an intervention quite effective.
Leonard A. Levy, DPM, MPH, Ft. Lauderdale, FL
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| RESPONSES/COMMENTS (RELEVANT RESEARCH) | |
From: Ivar E. Roth DPM, MPH
Thanks, Dr. Levy for your insight. I never really gave much thought how we as podiatrists should interact with cardiologists. Bravo as usual. I think you should do a weekly column for PM News with your pearls of practice.
Ivar E. Roth DPM, MPH, Newport Beach, CA
Editor's note: Regular readers of PM News are aware that Dr. Levy is a regular contributor to this newsletter, for which we are greatly appreciative.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Best way to protect Santa from Covid? |
Source: Irregular Thinking (Facebook)
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MEETING NOTICES
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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 $249 (less than $17 per CECH)
podiatrym.com/cme.cfm
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, 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, PA, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
* NY podiatrists whose licenses expire from 3/2/20-5/1/21 may take all credits online
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
WOUND CARE/RECONSTRUCTIVE SURGERY FELLOWSHIP - LOS ANGELES, CA
Attention graduating residents! Multi-specialty surgical group adding wound care and reconstructive surgery podiatry fellowship for 2021-2022 academic year. Will train in multiple settings alongside plastic surgery and general surgery in new facility. Full salary, health insurance, housing stipend, with more opportunities after completing program. Send CV to: woundcaredocs@gmail.com
WOUND CARE FELLOWSHIP - NEW YORK
CPME APPROVED 12 month fellowship beginning July 1st, 2021. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, dermatology, as well as, general, vascular, and podiatric surgeons. Must have completed a PMSR residency. Please contact drarnoldhertz@aol.com or jtfootcare@gmail.com. EOE employer.
ASSOCIATE POSITIONS - DE, OH, MO, TN, PA, CT, FL
PediRite, a company that provides care to nursing home residents has excellent opportunities providing services to our contracted facilities. Flexible scheduling, set your own hours, very lucrative commissions! This is a great match for podiatrists with open days/hours in their schedule. Work available in DE, OH, MO, TN, PA, CT send resume to sara@sightrite.com (submit for any other state as well as we have ongoing opportunities)
ASSOCIATE POSITION - TAMPA/ST PETERSBURG BEACHES AREA, FL
Due to demand we are seeking a well trained associate. Great hours, no call, office based practice, surgery all included in this practice. Great location. Competitive salary and benefits. Opportunity to grow with this busy practice. Contact: Yourpracticenow@gmail.com
ASSOCIATE POSITIONS - AVAILABLE IMMEDIATELY
Podiatrist positions available for immediate hire to treat patients in Nursing Facilities in FLORIDA, UPSTATE NEW YORK, TEXAS, KENTUCKY, and ARKANSAS. A unique opportunity with flexible schedules and an unmatched potential for growth. Send CV and Cover letter to office@easternpodiatrypllc.com
ASSOCIATE POSITION - ALBUQUERQUE, NM
Busy, growing, 3 location, Podiatry group in Albuquerque, NM seeking full-time associate. Must be ABPM BQ/BE. Competitive salary and full benefit package. Qualified applicant will join a value based, protocol driven state of the art practice addressing all aspects of Podiatric care to include limb salvage, sports medicine, trauma and reconstructive foot and ankle surgery and hospital call. If interested please send CV and cover letter to hiring@nmfootandankle.com
ASSOCIATE POSITION WITH BUYOUT OPTION - FREDERICK, MD
Located in beautiful western Maryland, less than an hour from Baltimore/Washington, DC. Enjoy skiing, hiking, kayaking, hunting, fishing outside your back door. Excellent opportunity for well trained individual who is ready to become an owner after only one year. I will teach you how to become a top earner in the field. Full time offices also in Hagerstown, MD and Gettysburg, PA. Full benefits package. drhenrock@yahoo.com
FULL-TIME ASSOCIATE POSITION – FLORIDA PANHANDLE
Immediate position available for hard-working, motivated individual in a well-established practice. Equal mix of primary care and surgery. Excellent opportunity to get on all insurance panels. Board qualified/Certified with ABPS preferred. Competitive salary and benefit package. Please email CV and letter of interest to recruiting@feetareneat.com.
ASSOCIATE POSITION - SOUTHWEST, FL
Immediate position for busy practice in Sunny Southwest, FL. ABFAS RRA BC/BQ. EMR, E x-rays, US, DME. Base salary + bonus w, PTO, 401K, fees, health benefits. Also 1 ACFAS credentialed fellowship avail, must be BQ ACFAS by start of program 8/2021: DrLam@NaplesPodiatrist.com
PODIATRIST POSITIONS - PHOENIX, ARIZONA
Established practice hiring both full-time and part-time physicians. If you are an energetic physician and would like to practice in an upbeat, well-equipped, modern and conveniently located facility please email CV to HealthyFeetAZ@Gmail.com. Candidates holding Arizona State License preferred.
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
A well established practice is looking to add a third podiatrist. We are looking for a candidate with wound care training as well as experience in foot and ankle reconstruction. The Palm Springs area boasts year round resort activities with close proximity to LA and San Diego beaches. Full benefits/CME/Malpractice and salary offered. Potential surgery center buy in. Please contact 515-556-5316 /Email CV to asnelsonbean@gmail.com
ASSOCIATE POSITION – CLEVELAND SW SUBURBS
Excellent opportunity to join a 30 year well established busy two office practice seeking a PSR-36 Board Qualified/Certified with ABPS who wants to stay in the Cleveland area. 401K and Profit sharing plan available. All phases of podiatry from surgery to wound care. Staff privileges at 3 local hospitals. Modern offices with certified EMR, digital x-rays and all aspects of DME. Significant opportunity for growth and development. Please forward CV to footdoc252@gmail.com
FULL-TIME or PART-TIME PODIATRIST - DALLAS/FORT WORTH AREA
PSR 24-36 Trained with a current Texas podiatry license. Multi-dimensional, Multi-office group treating a wide range of conditions. A great opportunity for driven personable individual. Please e-mail CV, References Letters, Short Video Introduction Email: cnunez1940@gmail.com
POSITION AVAILABLE - ALBANY, NEW YORK
Immediate opening and opportunity to join a busy growing practice in the capital region of NY. We have a growing practice that offers all aspects of podiatric care - both surgical and non-surgical. We pride ourselves on being state-the-art with EMR, digital x-ray, ECSWT and MLS laser therapy. We have the necessary support staff and have privileges with local hospitals and participate with all of the local insurance panels. We enjoy what we do and are looking for an ethical, reliable and motivated podiatrist to join our team. Please submit CV and cover letter to Albanypodiatry1@gmail.com
FULL TIME PODIATRIST - NORTHERN NEW JERSEY
We are a fast-growing podiatry practice in North Jersey with multiple locations and Doctors. We are currently looking for a full-time motivated and caring Doctor to join our busy practice. Some benefits include: competitive six-figure salary, generous 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 - NORTH CAROLINA
Established group practice seeking full time associate. Both strong clinical and strong surgical skills required. Training with diabetes and limb salvage a plus. Hospital and surgical center privileges. No nursing homes! Compensation with base and bonus structure. Benefits include: medical insurance, paid vacation, paid holidays, paid CME, malpractice. Please send cv to RussAllen25@gmail.com
ASSOCIATE POSITION WITH OPTION TO BUY – BRONX, NY
Full time or part time with option to purchase. Co-Op City, Bronx New York. Established in 1969. Full scope of podiatry. Must participate in insurance plans. Pleasant office; great patients; Great opportunity. Call or text 914-772-3842 or email: Lwolstein@aol.com
ASSOCIATE POSITION - NW FLORIDA/COASTAL ALABAMA
Busy, well-established practice, EHR, digital x-ray, diagnostic ultrasound. Offering competitive six-figure salary w/bonus structure, health/malpractice insurance, and PTO. PSR-36 required. Partnership path to motivated and compassionate associate. Must obtain Florida and Alabama licenses. Send CV: Brentmharwood@gmail.com
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
Very busy, well-established, group practice is seeking a full time associate. Candidate must be very hard working and ethical with good surgical training and having completed a 24-36 month residency. Applicant must be at least board qualified. Our diverse practice offers a high surgical volume, wound care, biomechanics and mix of general podiatry. Competitive salary and benefits. E-mail CV to podiatrists@icloud.com.
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 20,000 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com or call (215) 808-0770
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - WHITE PLAINS, NY
This established practice has been operating for more than 25 years in key market location. Full range of office services and surgery. Opportunity to grow practice and have outstanding return on investment. Priced to sale. Contact: Yourpracticenow@gmail.com
PRACTICE FOR SALE - BOSTON, MA
High volume surgical practice. Based on hospital campus, serves as referral center for cases. Established relationships. Key success factors include: outstanding interpersonal skills, well trained in all aspects of surgery, willingness to work weekends and take call. Well trained staff in place and willing to transition. Great hands are not enough, superior interpersonal skills required. Contact: YourPracticeNow@gmail.com
PRACTICE FOR SALE - WESTCHESTER COUNTY, NY
This well-established practice needs a new owner. Current owner seeking to retire. Busy office practice built on sports medicine and general podiatric care. Established referral sources. Priced to sell. Owner will transition. Fully equipped. Contact: MCrosby518@gmail.com
PRACTICE FOR SALE - CT - BRANFORD
Solo practice for sale. Practice positioned for future growth. Owner has busy practice with full schedule and privileges available at local hospitals and surgery centers. Owner relocating out of state. Contact: MCrosby518@gmail.com
PRACTICE FOR SALE - VAN NUYS, CALIFORNIA
Motivated Seller. General podiatric 53 year old practice for sale in Van Nuys California, next to hospital.
Great growth potential. Will stay to help transition. Call Ron Miller at 310-980-1822
PRACTICE FOR SALE - TARZANA, CALIFORNIA
Thriving practice for sale in optimum location next to pharmacy and across from major hospital in Tarzana California Established 1982 Ground floor free parking Patients are PPO Medicare and cash Serious inquires only text 818 451-8441.
PRACTICES FOR SALE - HUDSON VALLEY, NY
Long established in two Hudson Valley, NY counties. 4 employed podiatrists, experienced staff. Full hospital admitting, surgical privileges. Participation in most commercial, advantage, Medicare & Medicaid. Custom built Office #1 = 1900 sq ft 3-4 tx rms FOR SALE in deal. Office#2 = 1400 sq ft rental 3 tx rms. Contact: podiatrypracticeny@yahoo.com
PRACTICES WANTED TO BUY – TRI-STATE AREA (NY, NJ, CT)
Building out a network of podiatry practices throughout the Tri-State area (NY, NJ, CT). We are looking to buy podiatry practices large, small, rural or urban. Podiatrists who are looking to join a larger group to manage business operations, or retire, can contact us at podiatrymanagementinc@gmail.com. Competitive compensation and benefits package for those who would like to sell and work within the larger company.
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 20,000 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details.
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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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