| Anthony B Fazzone, MD | |
|
100 Hospital Dr., Southwestern Vermont Health Care, Bennington, VT 05201 | |
| (802) 442-6361 | |
| Not Available |
| Full Name | Anthony B Fazzone |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 29 Years |
| Location | 100 Hospital Dr., Bennington, Vermont |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841298742 | NPI | - | NPPES |
| 30204515 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 12375 (New Hampshire) | Secondary |
| 207L00000X | Anesthesiology | 042.0010702 (Vermont) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Medical Center Inc | Saint albans, VT | Hospital |
| Univ. Of Vermont - Fletcher Allen Health Care | Burlington, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Vermont Medical Center Inc | 3779491071 | 1060 |
| Clinical Colleagues Inc | 8729011333 | 148 |
| Entity Name | Springfield Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780657783 PECOS PAC ID: 6507760337 Enrollment ID: O20040130000327 |
| Entity Name | University Of Vermont Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047 |
| Entity Name | Gifford Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942329446 PECOS PAC ID: 4880683663 Enrollment ID: O20040507000460 |
| Entity Name | University Of Vermont Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730123241 PECOS PAC ID: 3779491071 Enrollment ID: O20060822000040 |
| Entity Name | Clinical Colleagues Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992725766 PECOS PAC ID: 8729011333 Enrollment ID: O20120229000037 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony B Fazzone, MD 100 Hospital Dr., Southwestern Vermont Health Care, Bennington, VT 05201 Ph: (802) 442-6361 | Anthony B Fazzone, MD 100 Hospital Dr., Southwestern Vermont Health Care, Bennington, VT 05201 Ph: (802) 442-6361 |
William Kelley, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Anesthesia Department, Bennington, VT 05201 Phone: 802-447-5590 Fax: 802-440-6099 |