| Dr John L Trotter, MD | |
|
422 Hamilton Blvd, South Boston, VA 24592-5200 | |
| (434) 572-4074 | |
| Not Available |
| Full Name | Dr John L Trotter |
|---|---|
| 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 |
|---|---|---|---|
| 1992812002 | NPI | - | NPPES |
| 31440900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 29684 (Wisconsin) | Secondary |
| 207X00000X | Orthopaedic Surgery | 0101274909 (Virginia) | Primary |
| Entity Name | Froedtert Manitowoc Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John L Trotter, MD 422 Hamilton Blvd, South Boston, VA 24592-5200 Ph: (434) 572-4074 | Dr John L Trotter, MD 422 Hamilton Blvd, South Boston, VA 24592-5200 Ph: (434) 572-4074 |
Dr. James Anthony Treadwell, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 422 Hamilton Blvd, South Boston, VA 24592 Phone: 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: May Accept 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: Medicare Enrolled Practice Location: 409 Oak Ln, South Boston, VA 24592 Phone: 434-572-8300 Fax: 434-572-1659 | |
Dr. William C Maccarty Iii, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 422 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-4074 Fax: 434-572-4712 | |
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 |