Dr Stephen S Kornbluth, MD | |
275 Route 30 N, Bomoseen, VT 05732-9647 | |
(802) 468-5641 | |
(802) 468-2923 |
Full Name | Dr Stephen S Kornbluth |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 44 Years |
Location | 275 Route 30 N, Bomoseen, 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 |
---|---|---|---|
1811948847 | NPI | - | NPPES |
P00479978 | Other | VT | RR MEDICARE |
1013905 | Medicaid | VT | |
00773271 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 153606 (New York) | Secondary |
207Q00000X | Family Medicine | 0420011399 (Vermont) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bayada Home Health Care | Williston, VT | Home health agency |
Rutland Regional Medical Center | Rutland, VT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Health Centers Of The Rutland Region Inc | 2961467386 | 88 |
Entity Name | Community Health Centers Of The Rutland Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336193838 PECOS PAC ID: 2961467386 Enrollment ID: O20041129000357 |
Entity Name | Community Health Centers Of The Rutland Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073567590 PECOS PAC ID: 2961467386 Enrollment ID: O20041129000784 |
Entity Name | Community Health Centers Of The Rutland Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104870922 PECOS PAC ID: 2961467386 Enrollment ID: O20050131001023 |
Entity Name | Community Health Centers Of The Rutland Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467681114 PECOS PAC ID: 2961467386 Enrollment ID: O20100804000784 |
Entity Name | Community Health Centers Of The Rutland Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780969345 PECOS PAC ID: 2961467386 Enrollment ID: O20120321000420 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen S Kornbluth, MD 71 Allen Street, Suite 403, Rutland, VT 05701-4570 Ph: (802) 772-4414 | Dr Stephen S Kornbluth, MD 275 Route 30 N, Bomoseen, VT 05732-9647 Ph: (802) 468-5641 |
Sarah Hart Dwyer, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 275 Route 30 N, Bomoseen, VT 05732 Phone: 802-468-5641 | |
Stephen Marion Rosmus, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 275 Route 30 N, Castleton Family Health Center, Bomoseen, VT 05732 Phone: 802-468-5641 Fax: 802-468-2923 | |
Julie A Foster, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 275 Route 30 N, Castleton Family Health Center, Bomoseen, VT 05732 Phone: 802-468-5641 Fax: 802-468-2923 | |
Jennifer Day Hanson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 275 Route 30 N, Bomoseen, VT 05732 Phone: 802-773-3386 | |
Hans Peter Diercksen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 275 Route 30 N, Bomoseen, VT 05732 Phone: 802-468-5641 Fax: 802-468-2923 | |
Bradley Alan Berryhill, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 275 Route 30 N, Castleton Family Health Center, Bomoseen, VT 05732 Phone: 802-468-5641 Fax: 802-468-2923 |