| Theresa Hetzler, MD | |
|
617 Riverside Ave, Burlington, VT 05401-1601 | |
| (802) 864-6309 | |
| (802) 860-4313 |
| Full Name | Theresa Hetzler |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 617 Riverside Ave, Burlington, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619978293 | NPI | - | NPPES |
| 01263758 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 181118 (New York) | Secondary |
| 208000000X | Pediatrics | 042.0013055 (Vermont) | Primary |
| Entity Name | Weill Medical College Of Cornell |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124170212 PECOS PAC ID: 6800709023 Enrollment ID: O20031118000661 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Hetzler, MD 617 Riverside Ave, Burlington, VT 05401-1601 Ph: (802) 864-6309 | Theresa Hetzler, MD 617 Riverside Ave, Burlington, VT 05401-1601 Ph: (802) 864-6309 |
Dr. William Raszka, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-8200 Fax: 802-847-8742 | |
Dr. Valerie J. Riss, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave., C/o Uvm Medical Center, Children's/pedi-hospitalists, Burlington, VT 05401 Phone: 802-847-2700 | |
Dr. Cameron Ulmer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000 | |
Dr. Nancy A Drucker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-8200 Fax: 802-847-8742 | |
Dr. Nilgun Tapucu Zimakas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 S Prospect St, Burlington, VT 05401 Phone: 802-847-4696 Fax: 902-847-4612 | |
Dr. Joseph Francis Hagan Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 128 Lakeside Ave, Suite 115, Burlington, VT 05401 Phone: 802-860-1928 | |
Elizabeth Schindler Perzanowski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 S Prospect St, Burlington, VT 05401 Phone: 802-847-4696 Fax: 802-847-4612 |