Dr Louis Thayer Merriam, MD | |
130 Fisher Rd, Suite 3-1, Berlin, VT 05602-9516 | |
(802) 225-7039 | |
Not Available |
Full Name | Dr Louis Thayer Merriam |
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Gender | Male |
Speciality | Surgery |
Location | 130 Fisher Rd, Berlin, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710906136 | NPI | - | NPPES |
1020429 | Medicaid | VT | |
5372668 | Other | NY | AETNA |
77L071 | Other | NY | EMPIRE BC.BS |
01881158 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 212039 (New York) | Primary |
208600000X | Surgery | 042.0012371 (Vermont) | Secondary |
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 | Central Vermont Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023028784 PECOS PAC ID: 9335138817 Enrollment ID: O20051220000393 |
Mailing Address | Practice Location Address |
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Dr Louis Thayer Merriam, MD 130 Fisher Rd Ste 3-1, Berlin General Surgery, Berlin, VT 05602-9000 Ph: (802) 225-7039 | Dr Louis Thayer Merriam, MD 130 Fisher Rd, Suite 3-1, Berlin, VT 05602-9516 Ph: (802) 225-7039 |
Dr. Eduards Gunars Ziedins, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 130 Fisher Rd Ste 3-1, Berlin, VT 05602 Phone: 802-225-7075 Fax: 802-225-7104 | |
Dr. Laurie Spaulding, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 130 Fisher Rd, Berlin, VT 05602 Phone: 802-371-3454 Fax: 802-371-5357 | |
Michael H Mason, MD Surgery Medicare: Medicare Enrolled Practice Location: 286 Hospital Loop, Ste 4, Berlin, VT 05602 Phone: 802-229-0008 Fax: 802-229-1946 | |
Dr. Mark E. Crane, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 286 Hospital Loop, Suite 10, Berlin, VT 05602 Phone: 802-223-4311 |