| Dr Kenneth S Danielson, MD | |
|
1290 Hospital Dr, St Johnsbury, VT 05819-9205 | |
| (802) 748-2984 | |
| Not Available |
| Full Name | Dr Kenneth S Danielson |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1290 Hospital Dr, St Johnsbury, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720037252 | NPI | - | NPPES |
| 3080079 | Medicaid | NH | |
| 0005741 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0420006525 (Vermont) | Secondary |
| 208600000X | Surgery | 5957 (New Hampshire) | Primary |
| Entity Name | Cottage Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528162799 PECOS PAC ID: 1951219617 Enrollment ID: O20050509000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth S Danielson, MD 1290 Hospital Dr, Suite 1, St Johnsbury, VT 05819-9205 Ph: (802) 748-2984 | Dr Kenneth S Danielson, MD 1290 Hospital Dr, St Johnsbury, VT 05819-9205 Ph: (802) 748-2984 |
Dr. Annick-marie Votteler Kaufman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-8141 | |
Amira H Ghazali, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-2984 Fax: 802-748-1778 |