Dr Jonathan T Fairbank, MD in Burlington, VT - Radiology

Dr Jonathan T Fairbank, MD is a Radiology - Nuclear Radiology physician based in Burlington, Vermont. Dr Jonathan T Fairbank is licensed to practice in Vermont (license number 042-0003761) and his current practice location is 111 Colchester Ave, Dept. Of Radiology, Burlington, Vermont. He can be reached at his office (for appointments etc.) via phone at (802) 847-3592.

NPI number for Dr Jonathan T Fairbank is 1184645814 and his current mailing address is 283 Spear St, Charlotte, Vermont. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184645814.

Contact Information

	Dr Jonathan T Fairbank, MD
	111 Colchester Ave, Dept. Of Radiology, Burlington, VT 05401-1473
	(802) 847-3592
	(802) 847-4822

Physician's Profile

Full Name	Dr Jonathan T Fairbank
Gender	Male
Speciality	Radiology - Nuclear Radiology
Location	111 Colchester Ave, Burlington, Vermont
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1184645814
Provider Enumeration Date: 07/21/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Jonathan T Fairbank such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184645814	NPI	-	NPPES
4755	Medicaid	VT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085N0904X	Radiology - Nuclear Radiology	042-0003761 (Vermont)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jonathan T Fairbank is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jonathan T Fairbank, MD 283 Spear St, Charlotte, VT 05445-9132 Ph: (802) 847-3592	Dr Jonathan T Fairbank, MD 111 Colchester Ave, Dept. Of Radiology, Burlington, VT 05401-1473 Ph: (802) 847-3592

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Radiology Doctors in Burlington, VT

Dr. Sally Herschorn, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-3592 Fax: 802-847-4822
Dr. Janusz K Kikut, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Dept. Of Radiology, Burlington, VT 05401 Phone: 802-847-3592 Fax: 802-847-4822
Dr. Christopher James Anker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 860-918-2399
Dr. Mark Edgar Lach, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Fletcher Allen Health Care, Burlington, VT 05401 Phone: 802-847-5647
Dr. Deborah Rubin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-3506
Bill Saliba Majdalany, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000
Mr. Ryan Robert Walsh, Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000

Dr Jonathan T Fairbank, MD - Radiology in Burlington, VT