Dr Clarence Sherman Ivie Iii, DO | |
111 Colchester Ave, Wp-2, Burlington, VT 05401-1473 | |
(802) 847-2415 | |
(802) 847-2965 |
Full Name | Dr Clarence Sherman Ivie Iii |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 24 Years |
Location | 111 Colchester Ave, Burlington, Vermont |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275585689 | NPI | - | NPPES |
1013468 | Medicaid | VT | |
VN417801 | Other | VT | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 032-0000512 (Vermont) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Interventional Spine Of Vermont Pllc | 3375955222 | 3 |
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 | University Of Vermont Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730123241 PECOS PAC ID: 3779491071 Enrollment ID: O20060822000040 |
Entity Name | Champlain Anesthesia Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649746082 PECOS PAC ID: 9234470576 Enrollment ID: O20190415000212 |
Entity Name | Interventional Spine Of Vermont Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497359103 PECOS PAC ID: 3375955222 Enrollment ID: O20201217000173 |
Mailing Address | Practice Location Address |
---|---|
Dr Clarence Sherman Ivie Iii, DO 111 Colchester Ave, Burlington, VT 05401-1473 Ph: (802) 847-2415 | Dr Clarence Sherman Ivie Iii, DO 111 Colchester Ave, Wp-2, Burlington, VT 05401-1473 Ph: (802) 847-2415 |
Dr. Lydia S Grondin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Dept Of Anesthesia Wp2, Burlington, VT 05401 Phone: 802-847-2415 | |
Jennifer Danles, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Fahc-wp2, Burlington, VT 05401 Phone: 802-847-2415 Fax: 802-847-5324 | |
Dr. Jesus David Dominguez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000 | |
Timothy S Dominick, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Wp2, 122wp2, Burlington, VT 05401 Phone: 802-847-2415 | |
Dr. Robert Isaac Hieronimus, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-2415 | |
Eva V Fraser-harris, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 111 Colchester Ave, Fahc-wp2, Burlington, VT 05401 Phone: 802-847-2415 Fax: 802-847-5324 | |
Rebecca Ann Aslakson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-2415 |