| Martin R Luloff, MD | |
|
140 Hospital Dr, Suite 207, Bennington, VT 05201-5009 | |
| (802) 447-3930 | |
| (802) 447-8539 |
| Full Name | Martin R Luloff |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 140 Hospital Dr, Bennington, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093749756 | NPI | - | NPPES |
| 12-01279 | Other | MA | UNITED HEALTHCARE |
| 043877 | Other | MA | TUFTS |
| 20017 | Other | MA | HEALTHSOURCE(CMHC) |
| 451063 | Other | MA | AETNA/US HEALTHCARE |
| E45016 | Other | MA | BLUE CROSS/BLUE SHIELD |
| 4223701 | Other | MA | AETNA |
| 20700 | Other | MA | HARVARD PILGRIM |
| B10096001 | Other | MA | CIGNA |
| 2072734 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 43877 (Massachusetts) | Primary |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Martin R Luloff, MD 74 Gordons Way, Arlington, VT 05250 Ph: (508) 435-5506 | Martin R Luloff, MD 140 Hospital Dr, Suite 207, Bennington, VT 05201-5009 Ph: (802) 447-3930 |
Jaclyn D Lozier, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 140 Hospital Dr Ste 210, Bennington, VT 05201 Phone: 802-447-3930 Fax: 802-447-8539 | |
Judy Kay Orton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Main St, Suite 1, Bennington, VT 05201 Phone: 802-442-6057 Fax: 802-447-1348 | |
Theodore L Johnson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 194 North Street, Bennington, VT 05201 Phone: 802-442-2264 Fax: 802-442-2337 |