Southern Vermont Podiatry | |
382 Canal St, Brattleboro, VT 05301-6617 | |
(802) 254-0202 | |
(802) 246-1300 |
Full Name | Southern Vermont Podiatry |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 382 Canal St, Brattleboro, Vermont |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184645723 | NPI | - | NPPES |
1012948 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
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213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | 056-0000157 (Vermont) | Secondary |
Provider Name | David S Liebow |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1245220615 PECOS PAC ID: 3870501992 Enrollment ID: I20060331000374 |
Provider Name | Kimberly A Liebow |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1316937782 PECOS PAC ID: 8426067117 Enrollment ID: I20060407000016 |
Mailing Address | Practice Location Address |
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Southern Vermont Podiatry Po Box 910, Greenfield, MA 01302-0910 Ph: (413) 772-8500 | Southern Vermont Podiatry 382 Canal St, Brattleboro, VT 05301-6617 Ph: (802) 254-0202 |
Dr. Ethan Andrew Buhl, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 19 Belmont Ave Ofc Building, Brattleboro, VT 05301 Phone: 802-251-8650 | |
David Liebow, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 382 Canal St, Brattleboro, VT 05301 Phone: 802-254-0202 Fax: 802-246-1300 | |
Kimberly Liebow, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 382 Canal St, Brattleboro, VT 05301 Phone: 802-254-0202 Fax: 802-246-1300 | |
Dr. Raymond Leo Mariani, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 142 Western Ave, Brattleboro, VT 05301 Phone: 802-257-7913 Fax: 802-257-7913 |