| Mirjam Mccormack, MD | |
|
528 Washington Hwy, Morrisville, VT 05661-8973 | |
| (802) 888-8888 | |
| Not Available |
| Full Name | Mirjam Mccormack |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 25 Years |
| Location | 528 Washington Hwy, Morrisville, Vermont |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891716163 | NPI | - | NPPES |
| 1011031 | Medicaid | VT | |
| 00068350 | Other | VT | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 0420010794 (Vermont) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Champlain Valley Physicians Hospital Medical Ctr | Plattsburgh, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Of Vermont Plc | 4385028661 | 11 |
| Rutland Hospital, Inc. | 7214846377 | 169 |
| Champlain Valley Physicians Hospital Medical Center | 2769396878 | 283 |
| Entity Name | Anesthesia Associates Of Vermont Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982349254 PECOS PAC ID: 4385028661 Enrollment ID: O20220906001696 |
| Mailing Address | Practice Location Address |
|---|---|
| Mirjam Mccormack, MD 528 Washington Hwy, Morrisville, VT 05661-8973 Ph: () - | Mirjam Mccormack, MD 528 Washington Hwy, Morrisville, VT 05661-8973 Ph: (802) 888-8888 |
Sarah A. Blair, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 528 Washington Highway, Morrisville, VT 05661 Phone: 802-888-4231 Fax: 802-888-8203 | |
Ann S Bartlett, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 528 Washington Hwy, Morrisville, VT 05661 Phone: 802-888-8888 | |
Anne Vitaletti-coughlin, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 530 Washington Hwy, Pob Suite 1, Morrisville, VT 05661 Phone: 802-888-8392 Fax: 802-888-5536 |