| Dr Mark L Wulkan, MD | |
|
111 Colchester Ave, Burlington, VT 05401-1473 | |
| (802) 847-4273 | |
| (802) 847-4462 |
| Full Name | Dr Mark L Wulkan |
|---|---|
| Gender | Male |
| Speciality | Surgery - Pediatric Surgery |
| Location | 111 Colchester Ave, Burlington, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053409698 | NPI | - | NPPES |
| 37BBFHJ | Other | GA | MEDICARE PTAN |
| Entity Name | Scottish Rite Childrens Medical Ctr |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184779332 PECOS PAC ID: 4981506581 Enrollment ID: O20040123000663 |
| Entity Name | Choa Multispecialty, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437493467 PECOS PAC ID: 7719126820 Enrollment ID: O20130621000413 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark L Wulkan, MD 111 Colchester Ave, Burlington, VT 05401-1473 Ph: (802) 847-0000 | Dr Mark L Wulkan, MD 111 Colchester Ave, Burlington, VT 05401-1473 Ph: (802) 847-4273 |
Ralph Morton Bolman Iii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 111 Colchester Ave., Uvm Medical Center - Ct Surgery, Burlington, VT 05401 Phone: 802-847-4044 Fax: 802-847-8158 | |
Dr. David Nielsen Krag, MD Surgery Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Main Paviliion-level 2, Burlington, VT 05401 Phone: 802-656-5830 Fax: 802-656-5833 | |
Conor O'neill, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000 | |
Dr. Sarah Anne Kelso-o'brien, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-2345 | |
Tessa Caitlin Cattermole, MD Surgery Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000 | |
Dr. Gary Chun-i An, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-3790 Fax: 312-695-1462 |