Robert E Tillson, CRNA | |
115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | |
(802) 388-5607 | |
(802) 388-5654 |
Full Name | Robert E Tillson |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 115 Porter Drive, Middlebury, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700922010 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1010020341 (Vermont) | Primary |
Entity Name | Porter Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871689604 PECOS PAC ID: 1850365180 Enrollment ID: O20060105000092 |
Mailing Address | Practice Location Address |
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Robert E Tillson, CRNA 115 Porter Drive, Co Susan Spitzner Finance Dept, Middlebury, VT 05753 Ph: (802) 388-5607 | Robert E Tillson, CRNA 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 Ph: (802) 388-5607 |
Nicole L. Stone, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 115 Porter Dr, Middlebury, VT 05753 Phone: 802-388-4701 Fax: 802-388-4799 | |
Erica Lynn Belida, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Porter Dr, Middlebury, VT 05753 Phone: 802-388-5607 Fax: 802-388-5654 | |
Mr. Eric Christopher Berg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Porter Drive, Middlebury, VT 05753 Phone: 802-388-5672 | |
Deborah G Norris, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 Phone: 802-388-5607 Fax: 802-388-5654 | |
David Myers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Porter Dr, Middlebury, VT 05753 Phone: 802-388-4701 | |
Gabrielle Robarge, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 115 Porter Dr, Middlebury, VT 05753 Phone: 802-388-4701 |