Robert Harry Tyson, MD | |
11 Crest Rd, Saint Albans, VT 05478-9701 | |
(802) 527-8189 | |
(802) 527-8187 |
Full Name | Robert Harry Tyson |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 11 Crest Rd, Saint Albans, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023219607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 042-0015130 (Vermont) | Primary |
Entity Name | Primary Care Health Partners - Vermont Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285687616 PECOS PAC ID: 7810896032 Enrollment ID: O20040205000572 |
Mailing Address | Practice Location Address |
---|---|
Robert Harry Tyson, MD 600 Blair Park Rd Ste 285, Williston, VT 05495-7586 Ph: (802) 288-1140 | Robert Harry Tyson, MD 11 Crest Rd, Saint Albans, VT 05478-9701 Ph: (802) 527-8189 |
Roya Mansoorani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Crest Rd, Saint Albans, VT 05478 Phone: 802-527-8189 Fax: 802-527-8187 | |
Frederick C Holmes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11 Crest Rd, Saint Albans, VT 05478 Phone: 802-527-8189 Fax: 802-527-8187 | |
Heidi Zvolensky, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Crest Rd, Saint Albans, VT 05478 Phone: 802-527-8189 Fax: 802-527-8187 | |
Dr. Laura Ann Bellstrom, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Crest Rd, Saint Albans, VT 05478 Phone: 802-527-8189 Fax: 802-527-8187 | |
Emanuele Q Chiappinelli, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Crest Rd, Saint Albans, VT 05478 Phone: 802-527-8189 Fax: 802-527-8187 |