| Dr James Gary Rose, MD | |
|
130 Fisher Rd, Suite 3-1, Berlin, VT 05602-9516 | |
| (802) 225-7025 | |
| (802) 225-7104 |
| Full Name | Dr James Gary Rose |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 43 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 |
|---|---|---|---|
| 1497778112 | NPI | - | NPPES |
| 1008758 | Medicaid | VT | |
| 042-0010379 | Other | UT | LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 042-0010379 (Vermont) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Vermont Medical Center | Berlin, VT | Hospital |
| University Of Vermont Medical Center | Burlington, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Vermont Medical Center Inc | 9335138817 | 233 |
| 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 | Central Vermont Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831374362 PECOS PAC ID: 9335138817 Enrollment ID: O20040510001034 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Gary Rose, MD 130 Fisher Rd, Suite 3-1, Berlin, VT 05602-9516 Ph: (802) 225-7025 | Dr James Gary Rose, MD 130 Fisher Rd, Suite 3-1, Berlin, VT 05602-9516 Ph: (802) 225-7025 |
Dr. Johanna Lee Wickemeyer, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 130 Fisher Rd Ste 3-1, Berlin, VT 05602 Phone: 802-225-7025 |