| Dr Thomas Hatton Mccoy, MD | |
|
539 Rolling Acres Rd, Lady Lake, FL 32159-5035 | |
| (352) 973-4070 | |
| (352) 973-4085 |
| Full Name | Dr Thomas Hatton Mccoy |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 539 Rolling Acres Rd, Lady Lake, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255313730 | NPI | - | NPPES |
| 7955895 | Medicaid | NC | |
| N30207 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 30207 (North Carolina) | Primary |
| Entity Name | Orthocarolina Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497704217 PECOS PAC ID: 2062316821 Enrollment ID: O20080625000065 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Hatton Mccoy, MD 539 Rolling Acres Rd, Lady Lake, FL 32159-5035 Ph: (352) 973-4070 | Dr Thomas Hatton Mccoy, MD 539 Rolling Acres Rd, Lady Lake, FL 32159-5035 Ph: (352) 973-4070 |
Dr. Peter J Mulhern, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 8550 Ne 138th Ln, Building 400, Suite 101b, Lady Lake, FL 32159 Phone: 352-751-1036 Fax: 352-750-4698 | |
John T Williams Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 13696 N Us Highway 441, Lady Lake, FL 32159 Phone: 352-775-1221 Fax: 352-915-9028 |