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Robert Isaac Hieronimus

Anesthesiology

Allopathic & Osteopathic Physicians

111 Colchester Ave, Burlington, VT 05401-1473

PECOS Enrollment

This provider is enrolled in PECOS as ROBERT HIERONIMUS.

Based on the most recent information from CMS, provider Robert Isaac Hieronimus is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1043519648
Provider Type
Individual
Full Name
Hieronimus, Robert Isaac
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/22/2011
Last Updated
7/25/2016

Contact Information

Practice Location

111 Colchester Ave, Burlington, VT 05401-1473

(802) 847-2415

Unlisted Fax

Mailing Location

111 Colchester Ave, Burlington, VT 05401-1473

(802) 847-2415

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License 042.0013398 Vermont

Robert Isaac Hieronimus

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Schapiro, Howard M

Shults, Russell

Manfred, Christopher Steven

Shapiro, Jeryl

Viani, Bruce A.

Fisher, John M

Walker, Matthew W.

Odefey, Amy S.

Kilgus, Britta J

Lane., Kimberly M.