Garry Richard Weischedel, MD | |
1775 Williston Road, South Burlington, VT 05403 | |
(802) 847-8500 | |
(802) 847-6140 |
Full Name | Garry Richard Weischedel |
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Gender | Male |
Speciality | Family Medicine |
Location | 1775 Williston Road, South 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 |
---|---|---|---|
1699706317 | NPI | - | NPPES |
34170200 | Medicaid | WI | |
OVN2084 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0420009937 (Vermont) | Primary |
207Q00000X | Family Medicine | 44142 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | 44498 (Minnesota) | Secondary |
Entity Name | Emergency Physician Services Of New York, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093759847 PECOS PAC ID: 8325939804 Enrollment ID: O20041001000684 |
Mailing Address | Practice Location Address |
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Garry Richard Weischedel, MD 20 Windridge Road, Essex Junction, VT 05452 Ph: (802) 879-6971 | Garry Richard Weischedel, MD 1775 Williston Road, South Burlington, VT 05403 Ph: (802) 847-8500 |
Kate Lamancuso, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Timber Ln, South Burlington, VT 05403 Phone: 802-847-8500 Fax: 802-847-6140 | |
Dr. Sepinoud Bazel, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 20 Kimball Ave Ste 303, South Burlington, VT 05403 Phone: 802-495-5817 | |
David Lisle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 192 Tilley Dr, Orthopaedic Specialty Center, South Burlington, VT 05403 Phone: 802-847-2663 | |
Dr. Robert A Luebbers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1775 Williston Rd, South Burlington, VT 05403 Phone: 802-847-8500 Fax: 802-847-6140 | |
Micheal R Sirois, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1775 Williston Rd, South Burlington, VT 05403 Phone: 802-847-8500 Fax: 802-860-4324 | |
Stephen Klippenstein, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 47 Finch Ct, South Burlington, VT 05403 Phone: 775-750-0906 | |
Mrs. Kathryn Ridgely Applegate, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 118 Tilley Dr Ste 201, South Burlington, VT 05403 Phone: 802-847-5550 |