Martin R Luloff, MD | |
140 Hospital Dr, Suite 207, Bennington, VT 05201-5009 | |
(802) 447-3930 | |
(802) 447-8539 |
Full Name | Martin R Luloff |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 140 Hospital Dr, Bennington, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093749756 | NPI | - | NPPES |
12-01279 | Other | MA | UNITED HEALTHCARE |
043877 | Other | MA | TUFTS |
20017 | Other | MA | HEALTHSOURCE(CMHC) |
451063 | Other | MA | AETNA/US HEALTHCARE |
E45016 | Other | MA | BLUE CROSS/BLUE SHIELD |
4223701 | Other | MA | AETNA |
20700 | Other | MA | HARVARD PILGRIM |
B10096001 | Other | MA | CIGNA |
2072734 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 43877 (Massachusetts) | Primary |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
---|---|
Martin R Luloff, MD 74 Gordons Way, Arlington, VT 05250 Ph: (508) 435-5506 | Martin R Luloff, MD 140 Hospital Dr, Suite 207, Bennington, VT 05201-5009 Ph: (802) 447-3930 |
Jaclyn D Lozier, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 140 Hospital Dr Ste 210, Bennington, VT 05201 Phone: 802-447-3930 Fax: 802-447-8539 | |
Judy Kay Orton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Main St, Suite 1, Bennington, VT 05201 Phone: 802-442-6057 Fax: 802-447-1348 | |
Theodore L Johnson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 194 North Street, Bennington, VT 05201 Phone: 802-442-2264 Fax: 802-442-2337 |