Gary Moelich, AA | |
100 Hospital Drive, Bennington, VT 05201 | |
(802) 442-6361 | |
Not Available |
Full Name | Gary Moelich |
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Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 100 Hospital Drive, Bennington, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821171794 | NPI | - | NPPES |
1014522 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 002862 (Georgia) | Secondary |
367H00000X | Anesthesiologist Assistant | AAA0000021 (Vermont) | Primary |
Entity Name | North Atlanta Anesthesia Professionals, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982349296 PECOS PAC ID: 5496134348 Enrollment ID: O20220623000371 |
Mailing Address | Practice Location Address |
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Gary Moelich, AA 100 Hospital Drive, Bennington, VT 05201 Ph: (802) 442-6361 | Gary Moelich, AA 100 Hospital Drive, Bennington, VT 05201 Ph: (802) 442-6361 |
Kelsey Buran, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Bennington, VT 05201 Phone: 802-442-6361 | |
Kimberley Monnet, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Bennington, VT 05201 Phone: 248-635-2416 | |
Mary Campbell, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Bennington, VT 05201 Phone: 802-442-6361 | |
Timothy Scott Snyder, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Bennington, VT 05201 Phone: 802-442-6361 | |
Cody Holloway, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Bennington, VT 05201 Phone: 530-640-0220 | |
John Calvin Gower, CAA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 100 Hospital Dr, Bennington, VT 05201 Phone: 802-447-4535 Fax: 802-447-4537 |