| Andrew Irvine, | |
|
111 Colchester Ave, Burlington, VT 05401-1473 | |
| (802) 847-3593 | |
| (802) 847-4822 |
| Full Name | Andrew Irvine |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 5 Years |
| Location | 111 Colchester Ave, Burlington, Vermont |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013586700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 042.0040306 (Vermont) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 344181 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Jonesboro, Inc. | Jonesboro, AR | Hospital |
| Great River Medical Center | Blytheville, AR | Hospital |
| Baptist Memorial Hospital-crittenden, Inc | West memphis, AR | Hospital |
| St Bernards Medical Center | Jonesboro, AR | Hospital |
| Baptist Memorial Hospital | Memphis, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-south Imaging And Therapeutics, P.a. | 9133106396 | 69 |
| Mid-south Imaging And Therapeutics, P.a. | 9133106396 | 69 |
| Mid-south Imaging And Therapeutics, P.a. | 9133106396 | 69 |
| Entity Name | Mid-south Imaging & Therapeutics, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043260763 PECOS PAC ID: 9133106396 Enrollment ID: O20170124002448 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Irvine, 111 Colchester Ave, Burlington, VT 05401-1473 Ph: (802) 847-3593 | Andrew Irvine, 111 Colchester Ave, Burlington, VT 05401-1473 Ph: (802) 847-3593 |
Dr. Sally Herschorn, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-3592 Fax: 802-847-4822 | |
Dr. Janusz K Kikut, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Dept. Of Radiology, Burlington, VT 05401 Phone: 802-847-3592 Fax: 802-847-4822 | |
Dr. Christopher James Anker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 860-918-2399 | |
Dr. Mark Edgar Lach, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Fletcher Allen Health Care, Burlington, VT 05401 Phone: 802-847-5647 | |
Dr. Deborah Rubin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-3506 | |
Bill Saliba Majdalany, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000 |