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Conrad Epping Koerper

Anesthesiology

Allopathic & Osteopathic Physicians

111 Colchester Ave, Burlington, VT 05401-1473

(802) 847-2345 (512) 865-1950

PECOS Enrollment

This provider is enrolled in PECOS as CONRAD KOERPER.

Based on the most recent information from CMS, provider Conrad Epping Koerper 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
1073073813
Provider Type
Individual
Full Name
Koerper, Conrad Epping
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/20/2019
Last Updated
10/6/2023

Contact Information

Practice Location

111 Colchester Ave, Burlington, VT 05401-1473

(802) 847-2345

Unlisted Fax

Mailing Location

72 Porters Point Ct, Colchester, VT 05446-1294

(512) 865-1950

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License 042.0017294 Vermont
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Conrad Epping Koerper

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Yarnell, Ralph W

University Of Vermont Medical Center Inc

Tousignant, Guy

Heller, Alex

Manfred, Christopher Steven

Torbin, Olga I

Escano Volquez, Luis Miguel

Grondin, Lydia S

Aslakson, Rebecca Ann

Nichols, Karen