| Dr Todd T Hannula, MD | |
|
1616 N Main St, Ste 100a, Marion, VA 24354-4473 | |
| (276) 783-9752 | |
| (276) 783-7786 |
| Full Name | Dr Todd T Hannula |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 37 Years |
| Location | 1616 N Main St, Marion, Virginia |
| 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 |
|---|---|---|---|
| 1346357951 | NPI | - | NPPES |
| 1346357951 | Medicaid | VA | |
| 32039700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 39663 (Wisconsin) | Secondary |
| 207X00000X | Orthopaedic Surgery | 0101252921 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ballad Health Homecare - Abingdon | Abingdon, VA | Home health agency |
| Smyth County Community Hospital | Marion, VA | Hospital |
| Johnston Memorial Hospital | Abingdon, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Ridge Medical Management Corporation | 9739099441 | 306 |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336 |
| Entity Name | Abingdon Physician Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306944350 PECOS PAC ID: 5991705667 Enrollment ID: O20070102000365 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Todd T Hannula, MD 1616 N Main St, Ste 100a, Marion, VA 24354-4473 Ph: (276) 783-9752 | Dr Todd T Hannula, MD 1616 N Main St, Ste 100a, Marion, VA 24354-4473 Ph: (276) 783-9752 |
Dr. Ralph A Parks, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1209 Snider St, Marion, VA 24354 Phone: 276-783-9752 Fax: 276-783-7786 |