Carl Wade Cobb, MD | |
115 Porter Dr, Radiology Department, Middlebury, VT 05753-8423 | |
(802) 388-8851 | |
(802) 388-8821 |
Full Name | Carl Wade Cobb |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 34 Years |
Location | 115 Porter Dr, Middlebury, Vermont |
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 |
---|---|---|---|
1083650733 | NPI | - | NPPES |
0VN2386 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 042-0010110 (Vermont) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Porter Hospital, Inc | Middlebury, VT | Hospital |
Univ. Of Vermont - Fletcher Allen Health Care | Burlington, VT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Porter Hospital Inc | 1850365180 | 70 |
Entity Name | University Of Vermont Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047 |
Entity Name | Porter Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134457013 PECOS PAC ID: 1850365180 Enrollment ID: O20050919000862 |
Entity Name | Central Vermont Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023028784 PECOS PAC ID: 9335138817 Enrollment ID: O20051220000393 |
Entity Name | Alice Hyde Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568735660 PECOS PAC ID: 4082525837 Enrollment ID: O20240419003050 |
Entity Name | Elizabethtown Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053656744 PECOS PAC ID: 3577554138 Enrollment ID: O20240515002137 |
Entity Name | Champlain Valley Physicians Hospital Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124189782 PECOS PAC ID: 2769396878 Enrollment ID: O20240531000400 |
Mailing Address | Practice Location Address |
---|---|
Carl Wade Cobb, MD 115 Porter Dr, Radiology Department, Middlebury, VT 05753-8423 Ph: (802) 388-8851 | Carl Wade Cobb, MD 115 Porter Dr, Radiology Department, Middlebury, VT 05753-8423 Ph: (802) 388-8851 |
Stephen M Koller, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 115 Porter Dr, Radiology Department, Middlebury, VT 05753 Phone: 802-388-8851 |