Liam G Gannon, MD | |
528 Washington Highway, Morrisville, VT 05661-8973 | |
(802) 888-4231 | |
(802) 888-8203 |
Full Name | Liam G Gannon |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 528 Washington Highway, Morrisville, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780648691 | NPI | - | NPPES |
0VN2298 | Medicaid | VT | |
OVN2298 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 042-0010022 (Vermont) | Primary |
173000000X | Legal Medicine | 0420010022 (Vermont) | Secondary |
Entity Name | Copley Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922029784 PECOS PAC ID: 9234125766 Enrollment ID: O20040811001413 |
Mailing Address | Practice Location Address |
---|---|
Liam G Gannon, MD 528 Washington Highway, Morrisville, VT 05661-8973 Ph: (802) 888-4231 | Liam G Gannon, MD 528 Washington Highway, Morrisville, VT 05661-8973 Ph: (802) 888-4231 |
Dana Elizabeth Kennedy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 609 Washington Hwy, Morrisville, VT 05661 Phone: 802-888-5639 Fax: 802-888-6040 | |
Dr. David M Coddaire, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 609 Washington Hwy, Morrisville, VT 05661 Phone: 802-888-5639 Fax: 802-888-6040 | |
David Roy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 609 Washington Hwy, Morrisville, VT 05661 Phone: 802-888-5688 Fax: 802-888-6040 | |
Mara V Vijups, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 609 Washington Hwy, Morrisville, VT 05661 Phone: 802-888-5639 Fax: 802-888-6040 | |
Dr. Jerry M Linseisen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 528 Washington Hwy, Morrisville, VT 05661 Phone: 802-888-4231 Fax: 802-888-8203 | |
Dr. Tusa C Van Vogelpoel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 609 Washington Hwy, Morrisville, VT 05661 Phone: 802-888-5639 Fax: 802-888-6040 | |
Dr. Gary Waring, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 530 Washington Hwy, Morrisville, VT 05661 Phone: 802-888-3096 |