Steven J Fisher, MD | |
44 S Main St, Randolph, VT 05060-1381 | |
(802) 728-2345 | |
(802) 728-2613 |
Full Name | Steven J Fisher |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 44 S Main St, Randolph, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922181635 | NPI | - | NPPES |
010453642 | Other | ME | GREATWEST/ONE HEALTH |
3009259 | Other | VT | MVP HEALTH CARE |
5046643 | Other | ME | AETNA |
930011982 | Other | ME | RR MEDICARE |
001015 | Other | ME | ANTHEM |
268340099 | Medicaid | ME | |
0006637 | Medicaid | VT | |
010453642 | Other | ME | MEDNET |
1922181635 | Other | ME | TRICARE |
D78610 | Other | ME | HARVARD PILGRIM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 011282 (Maine) | Secondary |
207P00000X | Emergency Medicine | 042-0007233 (Vermont) | Primary |
Entity Name | Gifford Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942329446 PECOS PAC ID: 4880683663 Enrollment ID: O20040507000460 |
Mailing Address | Practice Location Address |
---|---|
Steven J Fisher, MD 44 S Main St, Randolph, VT 05060-1381 Ph: (802) 728-2345 | Steven J Fisher, MD 44 S Main St, Randolph, VT 05060-1381 Ph: (802) 728-2345 |
Clyde Wendell Smith, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 44 S Main St, Randolph, VT 05060 Phone: 802-728-7000 Fax: 802-728-2394 | |
Dr. Wayne Anton Misselbeck, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 36 S Main St, Gifford Medical Center Emergency Department, Randolph, VT 05060 Phone: 802-728-7000 | |
William James Young, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 44 S Main St, Randolph, VT 05060 Phone: 802-728-7000 Fax: 802-728-2394 | |
Joshua White, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Gifford Medical Center, 44 South Main St., Randolph, VT 05060 Phone: 802-728-7000 | |
Larry A. Ermold, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 44 S Main St, Randolph, VT 05060 Phone: 802-728-2345 Fax: 802-728-2613 | |
Dr. Saul Nurok, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 44 S Main St, Randolph, VT 05060 Phone: 802-728-2214 | |
Lucy J. Wollaeger, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 44 S Main St, Randolph, VT 05060 Phone: 802-728-7000 Fax: 802-728-2394 |