Stafford Eli Brannon, | |
215 Stratton Rd, Rutland, VT 05701-4621 | |
(802) 773-3386 | |
Not Available |
Full Name | Stafford Eli Brannon |
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Gender | Male |
Speciality | Internal Medicine - Geriatric Medicine |
Location | 215 Stratton Rd, Rutland, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1598486847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 101.0135630 (Vermont) | Primary |
Entity Name | Community Health Centers Of The Rutland Region Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336193838 PECOS PAC ID: 2961467386 Enrollment ID: O20041129000357 |
Entity Name | Community Health Centers Of The Rutland Region Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073567590 PECOS PAC ID: 2961467386 Enrollment ID: O20041129000784 |
Entity Name | Community Health Centers Of The Rutland Region Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104870922 PECOS PAC ID: 2961467386 Enrollment ID: O20050131001023 |
Entity Name | Community Health Centers Of The Rutland Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467681114 PECOS PAC ID: 2961467386 Enrollment ID: O20100804000784 |
Entity Name | Community Health Centers Of The Rutland Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780969345 PECOS PAC ID: 2961467386 Enrollment ID: O20120321000420 |
Mailing Address | Practice Location Address |
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Stafford Eli Brannon, 215 Stratton Rd, Rutland, VT 05701-4621 Ph: () - | Stafford Eli Brannon, 215 Stratton Rd, Rutland, VT 05701-4621 Ph: (802) 773-3386 |
Michael William Gleeson, MD, PHD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Albert Cree Dr, Rutland, VT 05701 Phone: 802-786-1400 Fax: 802-786-1405 | |
Sudhir Babu Movva, M.D Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 160 Allen St, Rutland, VT 05701 Phone: 802-747-1633 Fax: 802-775-7214 | |
T Ray Lovko, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 Stratton Rd, Rutland, VT 05701 Phone: 802-773-3386 Fax: 802-773-4578 | |
Dr. Louis Block Meyers, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 160 Allen St, Rutland, VT 05701 Phone: 802-775-7111 Fax: 802-772-2556 | |
William Orourke, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 69 Allen St, Suite 11, Rutland, VT 05701 Phone: 802-775-0033 | |
Mark C Stickney, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Commons St, Rutland, VT 05701 Phone: 802-773-7155 Fax: 802-773-7616 | |
Dr. Mark Edward Logan, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 199 Stratton Rd, Rutland, VT 05701 Phone: 802-775-7798 |