Larissa Maria Hatala, DPM | |
211 Old Lexington Rd, Thomasville, NC 27360-3428 | |
(336) 474-4770 | |
(336) 474-4779 |
Full Name | Larissa Maria Hatala |
---|---|
Gender | Female |
Speciality | Podiatry |
Experience | 11 Years |
Location | 211 Old Lexington Rd, Thomasville, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619309135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | SC006469 (Pennsylvania) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 632 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
Novant Health Thomasville Medical Center | Thomasville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Novant Medical Group Inc | 1153234893 | 2023 |
Provider Name | Novant Medical Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Provider Name | Forsyth Memorial Hospital Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
Mailing Address | Practice Location Address |
---|---|
Larissa Maria Hatala, DPM Po Box 60447, Charlotte, NC 28260-0447 Ph: (336) 474-4770 | Larissa Maria Hatala, DPM 211 Old Lexington Rd, Thomasville, NC 27360-3428 Ph: (336) 474-4770 |
Thomasville Foot And Ankle Specialists Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 211 Old Lexington Road, Thomasville, NC 27360 Phone: 336-476-3338 Fax: 336-474-3274 |