Dr Harold James Wallace Iii, MD | |
111 Colchester Ave, Fletcher Allen Health Care Dept. Of Radiation Oncology, Burlington, VT 05401-1473 | |
(802) 847-3506 | |
(802) 847-2386 |
Full Name | Dr Harold James Wallace Iii |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 36 Years |
Location | 111 Colchester Ave, Burlington, 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 |
---|---|---|---|
1770504888 | NPI | - | NPPES |
OVN2161 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 042-0009975 (Vermont) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Univ. Of Vermont - Fletcher Allen Health Care | Burlington, VT | Hospital |
Porter Hospital, Inc | Middlebury, VT | Hospital |
Champlain Valley Physicians Hospital Medical Ctr | Plattsburgh, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Vermont Medical Center Inc | 3779491071 | 970 |
Entity Name | University Of Vermont Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047 |
Mailing Address | Practice Location Address |
---|---|
Dr Harold James Wallace Iii, MD 291 Moody St, Per Se Technologies, Ludlow, MA 01056-1246 Ph: (800) 866-6663 | Dr Harold James Wallace Iii, MD 111 Colchester Ave, Fletcher Allen Health Care Dept. Of Radiation Oncology, Burlington, VT 05401-1473 Ph: (802) 847-3506 |
Dr. Sally Herschorn, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-3592 Fax: 802-847-4822 | |
Dr. Janusz K Kikut, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Dept. Of Radiology, Burlington, VT 05401 Phone: 802-847-3592 Fax: 802-847-4822 | |
Dr. Christopher James Anker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 860-918-2399 | |
Dr. Mark Edgar Lach, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Fletcher Allen Health Care, Burlington, VT 05401 Phone: 802-847-5647 | |
Dr. Deborah Rubin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-3506 | |
Bill Saliba Majdalany, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000 | |
Mr. Ryan Robert Walsh, Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000 |