| Todd Clark Sommer, DO | |
|
218 Old Mocksville Rd, Statesville, NC 28625-1930 | |
| (704) 838-7461 | |
| (704) 838-7467 |
| Full Name | Todd Clark Sommer |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 218 Old Mocksville Rd, Statesville, North 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 |
|---|---|---|---|
| 1285668426 | NPI | - | NPPES |
| 30092500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 40925 (Wisconsin) | Secondary |
| 213E00000X | Podiatrist | 612 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 2021-00393 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gentiva Health Services | Hickory, NC | Home health agency |
| Lake Norman Regional Medical Center | Mooresville, NC | Hospital |
| Central Carolina Hospital | Sanford, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Wound Specialists Of North Carolina, Pllc | 7810172616 | 18 |
| Entity Name | Integrated Wound Specialists Of North Carolina, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558666776 PECOS PAC ID: 7810172616 Enrollment ID: O20110420000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Clark Sommer, DO Po Box 19070, Prevea Health, Green Bay, WI 54307-9070 Ph: (920) 496-4700 | Todd Clark Sommer, DO 218 Old Mocksville Rd, Statesville, NC 28625-1930 Ph: (704) 838-7461 |
Dr. Dhrupa S Changela, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 276 Old Mocksville Rd Ste 400, Statesville, NC 28625 Phone: 704-878-6592 | |
Dr. Brandi Gallaher Kennedy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1446 Fern Creek Dr, Statesville, NC 28625 Phone: 704-873-9617 Fax: 704-761-6985 | |
Daniel Dwight Bellingham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Gaither Rd, Statesville, NC 28625 Phone: 704-871-1155 | |
Dwight Nicolas Bellingham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Gaither Rd, Statesville, NC 28625 Phone: 704-871-1155 | |
Daniela Getuza Isfan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 708 Hartness Rd, Statesville, NC 28677 Phone: 704-923-9423 | |
Teresa Romzick, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2341 Simonton Rd, Statesville, NC 28625 Phone: 704-761-2400 Fax: 704-761-2399 |