Mr Aaron Michael Wallace, MD | |
246 Granger Rd Ste 1, Barre, VT 05641-5352 | |
(802) 371-5950 | |
Not Available |
Full Name | Mr Aaron Michael Wallace |
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Gender | Male |
Speciality | Pediatrics |
Location | 246 Granger Rd Ste 1, Barre, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073037016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD23914 (Maine) | Secondary |
Entity Name | Maine Medical Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467477349 PECOS PAC ID: 9335043967 Enrollment ID: O20031125000026 |
Entity Name | Maine Medical Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144090 PECOS PAC ID: 9335043967 Enrollment ID: O20040331000191 |
Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Mailing Address | Practice Location Address |
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Mr Aaron Michael Wallace, MD 17 Wingate Dr, Portland, ME 04102-1829 Ph: (860) 214-6273 | Mr Aaron Michael Wallace, MD 246 Granger Rd Ste 1, Barre, VT 05641-5352 Ph: (802) 371-5950 |
Margaret Elizabeth Nelson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 246 Granger Rd Ste 1, Barre, VT 05641 Phone: 802-371-5950 | |
William G Gaidys, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 225 S Main St, Barre, VT 05641 Phone: 802-476-9242 Fax: 802-225-5760 |