Dr Edward F Elliott Jr, MD | |
17 Belmont Ave, Brattleboro, VT 05301-6613 | |
(802) 257-8820 | |
(802) 257-8849 |
Full Name | Dr Edward F Elliott Jr |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 17 Belmont Ave, Brattleboro, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013953793 | NPI | - | NPPES |
01029450 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 01029450 (Indiana) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 0420008401 (Vermont) | Primary |
Entity Name | Dartmouth-hitchcock Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040127000396 |
Entity Name | Dartmouth-hitchcock Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386697803 PECOS PAC ID: 4183537509 Enrollment ID: O20060328000430 |
Mailing Address | Practice Location Address |
---|---|
Dr Edward F Elliott Jr, MD 88 High St, Brattleboro, VT 05301-6074 Ph: (802) 257-7513 | Dr Edward F Elliott Jr, MD 17 Belmont Ave, Brattleboro, VT 05301-6613 Ph: (802) 257-8820 |
Walter Wagenknecht, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 17 Belmont Ave, Brattleboro, VT 05301 Phone: 800-655-3603 | |
Dr. Peter Douglas Gibbons, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 17 Belmont Ave, Brattleboro, VT 05301 Phone: 802-257-0115 Fax: 802-257-8849 | |
Mariusz Paluch, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 17 Belmont Ave, Brattleboro, VT 05301 Phone: 603-650-4371 |