| Thomas Edward Mccormick, MD | |
| 57 Chestnut Ave, Rutland, VT 05701-3409 | |
| (802) 775-4000 | |
| (802) 775-5472 | 
| Full Name | Thomas Edward Mccormick | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Adolescent Medicine | 
| Location | 57 Chestnut Ave, Rutland, Vermont | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1386675189 | NPI | - | NPPES | 
| 6185 | Medicaid | VT | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | 420007175 (Vermont) | Primary | 
| Entity Name | Rutland Hospital, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1578527578 PECOS PAC ID: 7214846377 Enrollment ID: O20040427000707 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Thomas Edward Mccormick, MD 57 Chestnut Ave, Rutland, VT 05701-3409 Ph: (802) 775-4000 | Thomas Edward Mccormick, MD 57 Chestnut Ave, Rutland, VT 05701-3409 Ph: (802) 775-4000 | 
| Michael William Gleeson, MD, PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Albert Cree Dr, Rutland, VT 05701 Phone: 802-786-1400 Fax: 802-786-1405 | |
| Sudhir Babu Movva, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 160 Allen St, Rutland, VT 05701 Phone: 802-747-1633 Fax: 802-775-7214 | |
| T Ray Lovko, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 Stratton Rd, Rutland, VT 05701 Phone: 802-773-3386 Fax: 802-773-4578 | |
| Dr. Louis Block Meyers, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 160 Allen St, Rutland, VT 05701 Phone: 802-775-7111 Fax: 802-772-2556 | |
| Mark C Stickney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Commons St, Rutland, VT 05701 Phone: 802-773-7155 Fax: 802-773-7616 | |
| Dr. Mark Edward Logan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 199 Stratton Rd, Rutland, VT 05701 Phone: 802-775-7798 | |
| Darius Seidler, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 160 Allen St, Rutland, VT 05701 Phone: 802-775-7111 Fax: 802-747-6207 |