Dr William C Maccarty Iii, MD | |
422 Hamilton Blvd, South Boston, VA 24592-5200 | |
(434) 572-4074 | |
(434) 572-4712 |
Full Name | Dr William C Maccarty Iii |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 422 Hamilton Blvd, South Boston, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952400756 | NPI | - | NPPES |
1952400756 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 0101030114 (Virginia) | Primary |
Entity Name | Dominion Health Medical Assoc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255771770 PECOS PAC ID: 1254311558 Enrollment ID: O20041206000840 |
Mailing Address | Practice Location Address |
---|---|
Dr William C Maccarty Iii, MD Po Box 777, South Boston, VA 24592-0777 Ph: (434) 517-3590 | Dr William C Maccarty Iii, MD 422 Hamilton Blvd, South Boston, VA 24592-5200 Ph: (434) 572-4074 |
Dr. Philip Holzknecht, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 422 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-4074 Fax: 434-572-4712 | |
Michael K Kyles, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 422 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-4074 Fax: 434-572-4712 | |
Dr. Jacqueline Mary Fogarty, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 409 Oak Ln, South Boston, VA 24592 Phone: 434-572-8300 Fax: 434-572-1659 | |
Dr. Paul C Sparks, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 422 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-4074 Fax: 434-572-4712 | |
Dr. John L Trotter, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 422 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-4074 |