| Mr Richard David Horak, DO | |
|
133 Fairfield St, Saint Albans, VT 05478-1726 | |
| (802) 524-5911 | |
| Not Available |
| Full Name | Mr Richard David Horak |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 133 Fairfield St, Saint Albans, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568903839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 032.0133989 (Vermont) | Primary |
| Entity Name | Jefferson Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795951 PECOS PAC ID: 8729982525 Enrollment ID: O20031124000161 |
| Entity Name | Connecticut Imaging Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740315761 PECOS PAC ID: 4183649098 Enrollment ID: O20051011000041 |
| Entity Name | Tic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457702813 PECOS PAC ID: 4880972819 Enrollment ID: O20161026002352 |
| Entity Name | Farmington Imaging Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275987802 PECOS PAC ID: 7719265651 Enrollment ID: O20161028000552 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard David Horak, DO 132 Hillcrest Hts, Saint Albans, VT 05478-9723 Ph: (208) 690-9844 | Mr Richard David Horak, DO 133 Fairfield St, Saint Albans, VT 05478-1726 Ph: (802) 524-5911 |
Dr. Olga A Lopatina, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 133 Fairfield St, Saint Albans, VT 05478 Phone: 802-524-1078 | |
Dr. Jennifer F Eaton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 133 Fairfield St, Saint Albans, VT 05478 Phone: 802-524-1058 |