| Dr Todd N Tom, MD | |
|
306 Hospital Dr Ste 100, South Williamson, KY 41503-4095 | |
| (606) 237-1789 | |
| (606) 237-1797 |
| Full Name | Dr Todd N Tom |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 42 Years |
| Location | 306 Hospital Dr Ste 100, South Williamson, Kentucky |
| 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 |
|---|---|---|---|
| 1154327559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 39872 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Regional Medical Center | Riverdale, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Regional Physicians Management Group, Llc | 9032491956 | 22 |
| Entity Name | Southern Regional Physicians Management Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043677271 PECOS PAC ID: 9032491956 Enrollment ID: O20170127002483 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Todd N Tom, MD 306 Hospital Dr Ste 100, South Williamson, KY 41503-4095 Ph: (606) 237-1789 | Dr Todd N Tom, MD 306 Hospital Dr Ste 100, South Williamson, KY 41503-4095 Ph: (606) 237-1789 |
Dr. Chadwick J Knight, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 306 Hospital Dr Ste 100, South Williamson, KY 41503 Phone: 606-237-1789 Fax: 606-237-1797 | |
Mr. Taha Rashid Mallick, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 306 Hospital Dr, South Williamson, KY 41503 Phone: 606-237-1789 | |
Dr. Prakash G Mahalingashetty, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 306 Hospital Dr, Suite 106, South Williamson, KY 41503 Phone: 606-237-1129 Fax: 606-237-0331 | |
Dr. Rao H. Vempaty, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 306 Hospital Dr, South Williamson, KY 41503 Phone: 606-237-1789 Fax: 606-237-1789 |