Dr Ian H Black, MD | |
111 Colchester Ave, Fletcher Allen Health Care Department Of Anesthesiology, Burlington, VT 05401 | |
(802) 847-2415 | |
(802) 847-5324 |
Full Name | Dr Ian H Black |
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Gender | Male |
Speciality | Anesthesiology |
Location | 111 Colchester Ave, Burlington, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1134110109 | NPI | - | NPPES |
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 |
Entity Name | University Of Vermont Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730123241 PECOS PAC ID: 3779491071 Enrollment ID: O20060822000040 |
Mailing Address | Practice Location Address |
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Dr Ian H Black, MD 1801 16th St, Greeley, CO 80631-5154 Ph: () - | Dr Ian H Black, MD 111 Colchester Ave, Fletcher Allen Health Care Department Of Anesthesiology, Burlington, VT 05401 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 |