George C Fjeld, MD | |
420 Grove St, Brandon, VT 05733-9062 | |
(802) 247-6305 | |
(802) 247-6040 |
Full Name | George C Fjeld |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 420 Grove St, Brandon, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720074743 | NPI | - | NPPES |
04030324 | Medicaid | NY | |
6049 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 420006971 (Vermont) | Primary |
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 |
---|---|
George C Fjeld, MD 71 Allen St, Ste 403, Rutland, VT 05701-4570 Ph: (802) 772-4414 | George C Fjeld, MD 420 Grove St, Brandon, VT 05733-9062 Ph: (802) 247-6305 |
Kim Kurak, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 Grove St, Brandon, VT 05733 Phone: 802-247-6305 Fax: 802-247-6040 | |
Lucy Mckeon, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 61 Court Dr, Brandon, VT 05733 Phone: 802-247-3755 | |
William D Barrett, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 61 Court Dr, Brandon, VT 05733 Phone: 802-247-3755 Fax: 802-247-4560 | |
Carrie C Wulfman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 61 Court Dr, Brandon, VT 05733 Phone: 802-247-3756 Fax: 802-247-4560 |