| Daniel Wilson, DO | |
|
130 Fisher Rd, Berlin, VT 05602-9516 | |
| (802) 371-4100 | |
| Not Available |
| Full Name | Daniel Wilson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 41 Years |
| Location | 130 Fisher Rd, Berlin, 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 |
|---|---|---|---|
| 1437179074 | NPI | - | NPPES |
| OVN2743 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 032-0000500 (Vermont) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Heywood Hospital - | Gardner, MA | Hospital |
| Athol Memorial Hospital | Athol, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Heywood Memorial Hospital | 1658262605 | 85 |
| Athol Memorial Hospital Incorporated | 7911959846 | 57 |
| Entity Name | Henry Heywood Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205823879 PECOS PAC ID: 1658262605 Enrollment ID: O20040322000360 |
| Entity Name | Athol Memorial Hospital Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336120047 PECOS PAC ID: 7911959846 Enrollment ID: O20050218000228 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Wilson, DO 130 Fisher Rd, Po Box 547, Berlin, VT 05602-9516 Ph: (802) 371-4100 | Daniel Wilson, DO 130 Fisher Rd, Berlin, VT 05602-9516 Ph: (802) 371-4100 |
David Indenbaum, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 Fisher Rd, Berlin, VT 05602 Phone: 802-371-4263 Fax: 802-371-4481 | |
Duane M Natvig, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 130 Fisher Rd, Berlin, VT 05602 Phone: 802-371-4263 Fax: 802-371-4481 | |
Dr. Sarah Sliva, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Fisher Rd, Berlin, VT 05602 Phone: 802-371-4263 Fax: 802-371-4481 | |
Robert J Riggen, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 Fisher Rd, Berlin, VT 05602 Phone: 802-371-4100 | |
Nancy Chickering, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 130 Fisher Rd, Berlin, VT 05602 Phone: 802-371-4100 | |
Philip A Brown, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 Fisher Rd, Berlin, VT 05602 Phone: 802-371-4100 | |
Robert Scott Nelson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Fisher Rd, Hospitalist Department, Berlin, VT 05602 Phone: 802-225-1743 Fax: 802-225-1745 |