Dr David W Hannon, MD | |
115 Heart Dr, Greenville, NC 27834-8982 | |
(252) 744-4400 | |
(252) 744-3987 |
Full Name | Dr David W Hannon |
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Gender | Male |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 115 Heart Dr, Greenville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114919792 | NPI | - | NPPES |
8939066 | Medicaid | NC | |
60056285 | Other | NC | RAILROAD MEDICARE |
39066 | Other | NC | BCBS NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | 36196 (North Carolina) | Primary |
Entity Name | Vidant Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Mailing Address | Practice Location Address |
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Dr David W Hannon, MD Po Box 751069, Charlotte, NC 28275-1069 Ph: () - | Dr David W Hannon, MD 115 Heart Dr, Greenville, NC 27834-8982 Ph: (252) 744-4400 |
Dr. Judy W Wood, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Moye Blvd, Pediatric Outpatient Center, Greenville, NC 27834 Phone: 252-744-2335 Fax: 252-744-3811 | |
Dr. Karen Mary Goth, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1901 Stonehenge Dr, Greenville, NC 27858 Phone: 252-561-7777 Fax: 252-561-7778 | |
Heidi Kenefick, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 600 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2335 Fax: 252-744-3811 | |
Leonard C Hymes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2150 Herbert Ct, Ecu Physicians Pediatric Nephrology, Greenville, NC 27834 Phone: 252-744-5437 Fax: 252-744-1514 | |
Dr. Jennifer E Crotty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 600 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2535 Fax: 252-744-3811 | |
Joseph Ginski, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-4378 Fax: 252-847-9943 | |
Weili Chang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-744-0766 Fax: 252-744-0392 |