| James Vecchio, | |
|
15 Raymond St, Potsdam, NY 13676-1163 | |
| (315) 265-3300 | |
| (315) 261-4498 |
| Full Name | James Vecchio |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 15 Raymond St, Potsdam, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235223512 | NPI | - | NPPES |
| 01042933 | Medicaid | NY | |
| 0009153 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 042-0007616 (Vermont) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 147889 (New York) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| James Vecchio, 267 Maeck Farm Rd, Shelburne, VT 05482-6973 Ph: () - | James Vecchio, 15 Raymond St, Potsdam, NY 13676-1163 Ph: (315) 265-3300 |
Dr. Velmalia Danette Matthews-smith, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Dr. John Ho Kim, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 Fax: 315-261-5607 | |
Jayaram Radhakrishnan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 153-274-9102 | |
Dr. Rajiv S Shah, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-261-4493 Fax: 315-261-4498 | |
Eric L Walter, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Magendra Thakur, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 7957 Us Highway 11, Potsdam, NY 13676 Phone: 315-268-1644 Fax: 315-265-7736 |