| Carl Wade Cobb, MD | |
|
115 Porter Dr, Radiology Department, Middlebury, VT 05753-8423 | |
| (802) 388-8851 | |
| (802) 388-8821 |
| Full Name | Carl Wade Cobb |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 35 Years |
| Location | 115 Porter Dr, Middlebury, 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 |
|---|---|---|---|
| 1083650733 | NPI | - | NPPES |
| 0VN2386 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 042-0010110 (Vermont) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Porter Hospital, Inc | Middlebury, VT | Hospital |
| Univ. Of Vermont - Fletcher Allen Health Care | Burlington, VT | Hospital |
| Champlain Valley Physicians Hospital Medical Ctr | Plattsburgh, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Porter Hospital Inc | 1850365180 | 87 |
| Champlain Valley Physicians Hospital Medical Center | 2769396878 | 283 |
| Elizabethtown Community Hospital | 3577554138 | 43 |
| Alice Hyde Medical Center | 4082525837 | 72 |
| Champlain Valley Physicians Hospital Medical Center | 2769396878 | 283 |
| Elizabethtown Community Hospital | 3577554138 | 43 |
| Alice Hyde Medical Center | 4082525837 | 72 |
| 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 | Porter Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134457013 PECOS PAC ID: 1850365180 Enrollment ID: O20050919000862 |
| Entity Name | Central Vermont Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023028784 PECOS PAC ID: 9335138817 Enrollment ID: O20051220000393 |
| Entity Name | Alice Hyde Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568735660 PECOS PAC ID: 4082525837 Enrollment ID: O20240419003050 |
| Entity Name | Elizabethtown Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053656744 PECOS PAC ID: 3577554138 Enrollment ID: O20240515002137 |
| Entity Name | Champlain Valley Physicians Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124189782 PECOS PAC ID: 2769396878 Enrollment ID: O20240531000400 |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Wade Cobb, MD 115 Porter Dr, Radiology Department, Middlebury, VT 05753-8423 Ph: (802) 388-8851 | Carl Wade Cobb, MD 115 Porter Dr, Radiology Department, Middlebury, VT 05753-8423 Ph: (802) 388-8851 |
Stephen M Koller, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 115 Porter Dr, Radiology Department, Middlebury, VT 05753 Phone: 802-388-8851 |