| Daniel W Fodor, MD | |
|
100 Hospital Drive, Bennington, VT 05201 | |
| (802) 447-5112 | |
| (802) 447-5108 |
| Full Name | Daniel W Fodor |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 24 Years |
| Location | 100 Hospital Drive, Bennington, 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 |
|---|---|---|---|
| 1538127139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 042-0011368 (Vermont) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southwestern Vermont Medical Center | Bennington, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwestern Vermont Medical Center Inc | 0143138446 | 160 |
| Radiology Associates Of Bennington, Inc. | 4981698933 | 5 |
| Entity Name | Radiology Associates Of Bennington, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225060270 PECOS PAC ID: 4981698933 Enrollment ID: O20040413000051 |
| Entity Name | Southwestern Vermont Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205865789 PECOS PAC ID: 0143138446 Enrollment ID: O20060929000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel W Fodor, MD Po Box 8002, Salem, NH 03079-8002 Ph: (800) 927-0002 | Daniel W Fodor, MD 100 Hospital Drive, Bennington, VT 05201 Ph: (802) 447-5112 |
James F Keenan, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Bennington, VT 05201 Phone: 802-447-5112 Fax: 802-447-5108 | |
Dr. Matthew R Vernon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 140 Hospital Dr Ste 116, Bennington, VT 05201 Phone: 802-447-1836 Fax: 802-440-6097 | |
Barry S Mayer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr, Bennington, VT 05201 Phone: 802-447-5112 Fax: 802-447-5108 | |
Andrew I Shedden, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Bennington, VT 05201 Phone: 802-447-5112 Fax: 802-447-5108 | |
Terrell L Coffield, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Bennington, VT 05201 Phone: 802-447-5112 Fax: 802-447-5108 |