Dr Robert S Fagelson, is a
Otolaryngology physician based in Brattleboro, Vermont. Dr Robert S Fagelson is licensed to practice in Vermont (license number VT5482) and his current practice location is 15 Fairview St, Brattleboro, Vermont. He can be reached at his office (for appointments etc.) via phone at
(802) 257-0557.
NPI number for Dr Robert S Fagelson is 1912944778 and his current mailing address is 15 Fairview St, Brattleboro, Vermont. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912944778.
Physician's Profile
| Full Name | Dr Robert S Fagelson |
|---|
| Gender | Male |
|---|
| Speciality | Otolaryngology |
|---|
| Location | 15 Fairview St, Brattleboro, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912944778
- Provider Enumeration Date: 06/01/2006
- Last Update Date: 10/26/2007
Medical Identifiers
Medical identifiers for Dr Robert S Fagelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912944778 | NPI | - | NPPES |
| 00000406 | Medicaid | NH | |
| 0004764 | Medicaid | VT | |
| GHI | Other | | 0600870 |
| 0105755Y0VT01 | Other | NH | ANTHEM |
| 200050974 | Other | | MVP |
| 2109499001 | Other | | CIGNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207KA0200X | Allergy & Immunology - Allergy | VT5482 (Vermont) | Secondary |
| 207Y00000X | Otolaryngology | VT5482 (Vermont) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert S Fagelson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Robert S Fagelson,
15 Fairview St,
Brattleboro, VT 05301-6629
Ph: (802) 257-0557 | Dr Robert S Fagelson,
15 Fairview St,
Brattleboro, VT 05301-6629
Ph: (802) 257-0557 |
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