Dr Wallace Hanna Good Jr, MD | |
12 Lakemount Dr, Saint Albans, VT 05478-0386 | |
(802) 524-5867 | |
Not Available |
Full Name | Dr Wallace Hanna Good Jr |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 12 Lakemount Dr, Saint Albans, Vermont |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568496008 | NPI | - | NPPES |
06375 | Other | VT | BLUE SHIELD |
01053034 | Medicaid | NY | |
0006375 | Medicaid | VT | |
86095 | Other | VT | MVP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 042-0006834 (Vermont) | Primary |
207L00000X | Anesthesiology | 144954 (New York) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Dr Wallace Hanna Good Jr, MD Po Box 386, Saint Albans, VT 05478-0386 Ph: (802) 452-5817 | Dr Wallace Hanna Good Jr, MD 12 Lakemount Dr, Saint Albans, VT 05478-0386 Ph: (802) 524-5867 |
Tal O. Leyshon, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8 Lake Mont Dr, Saint Albans, VT 05478 Phone: 734-255-0409 | |
Thomas Harrison I, Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 133 Fairfield St, Saint Albans, VT 05478 Phone: 802-524-7100 |