Dr Alexandra Bannach, MD | |
121 Medical Village Dr, Newport, VT 05855-9834 | |
(802) 334-5929 | |
(802) 487-1051 |
Full Name | Dr Alexandra Bannach |
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Gender | Female |
Speciality | Pediatrics |
Location | 121 Medical Village Dr, Newport, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518953942 | NPI | - | NPPES |
1011209 | Medicaid | VT | |
00068445 | Other | VT | BLUECROSSBLUESHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 042-0010849 (Vermont) | Primary |
Entity Name | North Country Hospital & Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144251059 PECOS PAC ID: 9739073479 Enrollment ID: O20041104000642 |
Entity Name | North Country Hospital & Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972634889 PECOS PAC ID: 9739073479 Enrollment ID: O20071203000069 |
Mailing Address | Practice Location Address |
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Dr Alexandra Bannach, MD 121 Medical Village Dr, Newport, VT 05855-9834 Ph: (802) 334-5929 | Dr Alexandra Bannach, MD 121 Medical Village Dr, Newport, VT 05855-9834 Ph: (802) 334-5929 |
Dr. Thomas Addis Emmet Moseley Iii, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 121 Medical Village Dr, Newport Pediatrics And Adolescent Medicine Pllc, Newport, VT 05855 Phone: 802-334-5929 | |
Eden Christian Henry, Pediatrics Medicare: Medicare Enrolled Practice Location: 121 Medical Village Dr, Newport, VT 05855 Phone: 802-334-5929 | |
Sarah L Mcauliff, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 121 Medical Village Dr, Newport, VT 05855 Phone: 802-334-5929 |