| Michael A Dimeola, MD | |
|
160 Allen St, Rutland, VT 05701-4560 | |
| (802) 747-1739 | |
| Not Available |
| Full Name | Michael A Dimeola |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 17 Years |
| Location | 160 Allen St, Rutland, Vermont |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215190830 | NPI | - | NPPES |
| 321339903 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | P4751 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rutland Regional Medical Center | Rutland, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rutland Hospital, Inc. | 7214846377 | 169 |
| Entity Name | Rutland Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295799047 PECOS PAC ID: 7214846377 Enrollment ID: O20040913000144 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Dimeola, MD 160 Allen St, Rutland, VT 05701-4560 Ph: () - | Michael A Dimeola, MD 160 Allen St, Rutland, VT 05701-4560 Ph: (802) 747-1739 |
Dr. Amy Marie Gjerde, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 160 Allen Street, Rutland, VT 05701 Phone: 802-775-7111 | |
Dr. Daniel T Biles, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 160 Allen St, Rutland Regional Medical Center, Rutland, VT 05701 Phone: 802-747-1739 | |
Timothy A. Daly, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 160 Allen Street, Rutland, VT 05701 Phone: 802-747-1700 Fax: 806-723-6532 |