Richard T Grunert, MD | |
111 Colchester Ave, Burlington, VT 05401-1473 | |
(802) 847-4097 | |
Not Available |
Full Name | Richard T Grunert |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 38 Years |
Location | 111 Colchester Ave, Burlington, 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 |
---|---|---|---|
1245211143 | NPI | - | NPPES |
0VN0121 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 0420008331 (Vermont) | Primary |
208800000X | Urology | 036133761 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Univ. Of Vermont - Fletcher Allen Health Care | Burlington, VT | Hospital |
Northwestern Medical Center Inc | Saint albans, VT | Hospital |
Champlain Valley Physicians Hospital Medical Ctr | Plattsburgh, NY | Hospital |
Central Vermont Medical Center | Barre, VT | Hospital |
Copley Hospital | Morrisville, VT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Vermont Medical Center Inc | 3779491071 | 970 |
Northwestern Medical Center Inc | 5496714313 | 79 |
Entity Name | University Of Vermont Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047 |
Entity Name | Northwestern Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538293469 PECOS PAC ID: 5496714313 Enrollment ID: O20081114000535 |
Mailing Address | Practice Location Address |
---|---|
Richard T Grunert, MD 111 Colchester Ave, Burlington, VT 05401-1473 Ph: () - | Richard T Grunert, MD 111 Colchester Ave, Burlington, VT 05401-1473 Ph: (802) 847-4097 |
Eric Richmond Sargent, M.D. Urology Medicare: Medicare Enrolled Practice Location: 111 Colchester Avenue, East Pavilion 5, Burlington, VT 05401 Phone: 802-847-2884 Fax: 802-847-6020 | |
Elizabeth Ann Stampfl, PA Urology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, East Pavilion-level 5-urology, Burlington, VT 05401 Phone: 802-847-2884 Fax: 802-847-6020 | |
Andrew C Mahoney, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 407-847-4097 | |
Benjamin King, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave # Ep-5, Burlington, VT 05401 Phone: 802-847-2884 | |
Dr. Mark Kenneth Plante, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, East Pavilion-level 5 Urology, Burlington, VT 05401 Phone: 802-847-2884 Fax: 802-847-6020 | |
John A Bisson, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 64 Colchester Ave, Burlington, VT 05401 Phone: 802-863-0107 Fax: 802-658-9292 |