| Richard A Wiseman, MD | |
|
140 Hospital Dr Ste 108, Bennington, VT 05201-5010 | |
| (024) 447-5519 | |
| (802) 447-5657 |
| Full Name | Richard A Wiseman |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 140 Hospital Dr Ste 108, Bennington, 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 |
|---|---|---|---|
| 1730165234 | NPI | - | NPPES |
| 3195228 | Medicaid | MA | |
| 1006998 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 042-0012245 (Vermont) | Primary |
| 207R00000X | Internal Medicine | 159649 (Massachusetts) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vna & Hospice Of The Southwest Region Inc | Rutland, VT | Home health agency |
| Gentiva Health Services | Pittsfield, MA | Home health agency |
| Southwestern Vermont Medical Center | Bennington, VT | Hospital |
| Berkshire Medical Center | Pittsfield, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwestern Vermont Medical Center Inc | 0143138446 | 160 |
| Entity Name | Southwestern Vermont Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184994162 PECOS PAC ID: 0143138446 Enrollment ID: O20120613000217 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard A Wiseman, MD 140 Hospital Dr Ste 108, Bennington, VT 05201-5010 Ph: (802) 447-5519 | Richard A Wiseman, MD 140 Hospital Dr Ste 108, Bennington, VT 05201-5010 Ph: (024) 447-5519 |
Dr. David L Furman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Hospital Dr Ste 302, Bennington, VT 05201 Phone: 802-447-4555 Fax: 802-440-6087 | |
Dr. Patrick J Tangney, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Hospital Dr Ste 307, Bennington, VT 05201 Phone: 802-447-4555 Fax: 802-440-6087 | |
Dr. David M Gorson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 140 Hospital Dr, Suite 301, Bennington, VT 05201 Phone: 802-442-3022 Fax: 802-442-4874 | |
Mr. Eric Steven Seyferth, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 140 Hospital Dr, Suite 310, Bennington, VT 05201 Phone: 802-442-7855 Fax: 802-442-6638 | |
Scott W Rogge, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Hospital Drive, Suite 312, Bennington, VT 05201 Phone: 802-442-0800 Fax: 802-442-0212 | |
David M Sischy, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 140 Hospital Dr, Bennington, VT 05201 Phone: 802-447-8650 Fax: 802-447-8653 | |
G Richard Dundas, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 339 Dewey St, Bennington, VT 05201 Phone: 802-442-8164 Fax: 802-442-4214 |