| Kimberly M Lane, MD | |
|
111 Colchester Ave., Uvm Medical Center - Anesthesiology, Burlington, VT 05401 | |
| (802) 847-2415 | |
| (802) 847-5324 |
| Full Name | Kimberly M Lane |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| 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 |
|---|---|---|---|
| 1477589539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 042.0013233 (Vermont) | Primary |
| 207L00000X | Anesthesiology | MD11720 (Rhode Island) | Secondary |
| 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 | North Country Hospital & Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144251059 PECOS PAC ID: 9739073479 Enrollment ID: O20041104000642 |
| Entity Name | North Country Hospital & Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568414373 PECOS PAC ID: 9739073479 Enrollment ID: O20060525000115 |
| Entity Name | University Of Vermont Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730123241 PECOS PAC ID: 3779491071 Enrollment ID: O20060822000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly M Lane, MD 111 Colchester Ave., Uvm Medical Center - Anesthesiology, Burlington, VT 05401 Ph: (802) 847-2415 | Kimberly M Lane, MD 111 Colchester Ave., Uvm Medical Center - Anesthesiology, Burlington, VT 05401 Ph: (802) 847-2415 |
Dr. Lydia S Grondin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Dept Of Anesthesia Wp2, Burlington, VT 05401 Phone: 802-847-2415 | |
Jennifer Danles, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 111 Colchester Ave, Fahc-wp2, Burlington, VT 05401 Phone: 802-847-2415 Fax: 802-847-5324 | |
Timothy S Dominick, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Wp2, 122wp2, Burlington, VT 05401 Phone: 802-847-2415 | |
Dr. Robert Isaac Hieronimus, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-2415 | |
Arden Vanderwall, MD, PHD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-2415 | |
Eva V Fraser-harris, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 111 Colchester Ave, Fahc-wp2, Burlington, VT 05401 Phone: 802-847-2415 Fax: 802-847-5324 | |
Rebecca Ann Aslakson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-2415 |