| Dr Todd C Bonvallet, MD | |
|
6262 Veterans Pkwy, Columbus, GA 31909-3540 | |
| (706) 324-6661 | |
| (706) 494-3306 |
| Full Name | Dr Todd C Bonvallet |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 34 Years |
| Location | 6262 Veterans Pkwy, Columbus, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952376337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 42794 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Surgical Professional Services Llc | 8628253424 | 332 |
| Entity Name | Northside Surgical Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Todd C Bonvallet, MD 6262 Veterans Pkwy, Columbus, GA 31909-3540 Ph: (706) 324-6661 | Dr Todd C Bonvallet, MD 6262 Veterans Pkwy, Columbus, GA 31909-3540 Ph: (706) 324-6661 |
Dr. John I. Waldrop, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6262 Veterans Pkwy, Columbus, GA 31909 Phone: 706-324-6661 Fax: 706-327-6701 | |
Dr. Frederick C. Flandry, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6262 Veterans Pkwy, Columbus, GA 31909 Phone: 706-324-6661 Fax: 706-327-6701 | |
Dr. John Kenneth Burkus, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 6262 Veterans Pkwy, Columbus, GA 31909 Phone: 706-324-6661 Fax: 706-327-6701 | |
Dr. Matthew Scott Griffith, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6262 Veterans Pkwy, Columbus, GA 31909 Phone: 706-324-6661 | |
Robert B Simpson, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6262 Veterans Pkwy, Columbus, GA 31909 Phone: 706-324-6661 Fax: 706-494-3201 | |
Dr. Thomas N. Bernard Jr., M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 6262 Veterans Pkwy, Columbus, GA 31909 Phone: 706-324-6661 Fax: 706-327-6701 | |
Dr. Bradley Lane Young, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6262 Veterans Pkwy, Columbus, GA 31909 Phone: 706-324-6661 |