John Eric Koella, MD | |
1315 Hospital Dr, Northeastern Vt Regional Hospital, St Johnsbury, VT 05819-9210 | |
(802) 748-8141 | |
(802) 748-4098 |
Full Name | John Eric Koella |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 36 Years |
Location | 1315 Hospital Dr, St Johnsbury, 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 |
---|---|---|---|
1942275771 | NPI | - | NPPES |
10020809 | Other | NY | CDPHP |
000401661005 | Other | NY | BLUE SHIELD |
040426007236 | Other | NY | FIDELIS |
000000042317 | Other | NY | GHI |
9X3071 | Other | NY | EMPIRE BLUE CROSS |
958301 | Other | NY | MVP |
01592667 | Medicaid | NY | |
43790 | Other | NY | GHI HMO |
5968600 | Other | NY | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 200876 (New York) | Secondary |
207Q00000X | Family Medicine | 042-0013372 (Vermont) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gifford Medical Center | Randolph, VT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gifford Medical Center Inc | 4880683663 | 38 |
Entity Name | Gifford Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942329446 PECOS PAC ID: 4880683663 Enrollment ID: O20040507000460 |
Mailing Address | Practice Location Address |
---|---|
John Eric Koella, MD Po Box 905, Northeastern Vt Regional Hospital, St Johnsbury, VT 05819-0905 Ph: (802) 748-8141 | John Eric Koella, MD 1315 Hospital Dr, Northeastern Vt Regional Hospital, St Johnsbury, VT 05819-9210 Ph: (802) 748-8141 |
Dr. John Raser, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 185 Sherman Dr, St Johnsbury, VT 05819 Phone: 802-748-5041 Fax: 802-748-5094 | |
Paul M Newton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-8141 | |
Stephen G Nolker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-8141 Fax: 802-748-4098 | |
Dr. Thomas Andrew Myrter, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 714 Breezy Hill Rd, St Johnsbury, VT 05819 Phone: 802-748-7500 Fax: 802-745-1188 | |
Dana C Kraus, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 185 Sherman Drive, Suite 1, St Johnsbury, VT 05819 Phone: 802-748-5041 Fax: 802-748-5094 | |
John M Ajamie, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1315 Hospital Dr, Northeastern Vt Regional Hospital, St Johnsbury, VT 05819 Phone: 802-748-8141 Fax: 802-748-7541 | |
Kevin A Rodgers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-7463 Fax: 802-748-7541 |