| Dr David W Hannon, MD | |
|
115 Heart Dr, Greenville, NC 27834-8982 | |
| (252) 744-4400 | |
| (252) 744-3987 |
| Full Name | Dr David W Hannon |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |