| Dr Todd C Hansen, MD | |
|
109 Liner Dr, Greenwood, SC 29646-2311 | |
| (864) 227-6401 | |
| (864) 725-1713 |
| Full Name | Dr Todd C Hansen |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 25 Years |
| Location | 109 Liner Dr, Greenwood, South Carolina |
| 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 |
|---|---|---|---|
| 1245293455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 7173A (Wyoming) | Secondary |
| 208800000X | Urology | 88382 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Self Regional Healthcare | Greenwood, SC | Hospital |
| Edgefield County Healthcare An Affiliate Of Self R | Edgefield, SC | Hospital |
| Caromont Regional Medical Center | Gastonia, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Self Medical Group | 6002953916 | 363 |
| Entity Name | Self Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
| Entity Name | Self Regional Healthcare Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922582105 PECOS PAC ID: 1557606118 Enrollment ID: O20190129003656 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Todd C Hansen, MD 109 Liner Dr, Greenwood, SC 29646-2311 Ph: (864) 227-6401 | Dr Todd C Hansen, MD 109 Liner Dr, Greenwood, SC 29646-2311 Ph: (864) 227-6401 |
Herman W. Parramore Iii, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 109 Liner Dr, Greenwood, SC 29646 Phone: 864-227-6401 Fax: 864-227-1745 | |
William Preston Turner Iii, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 109 Liner Dr, Greenwood, SC 29646 Phone: 864-227-6401 Fax: 864-725-1713 |