Individual ProviderBrian WaldschmidtAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address111 Colchester Ave, Burlington, VT 05401-1473(802) 847-2415PECOS EnrollmentBased on the most recent information from CMS, provider Brian Waldschmidt is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1720313463Provider TypeIndividualFull NameWaldschmidt, BrianCredentialM.D.GenderMaleSole ProprietorYesEnumeration Date10/14/2009Last Updated9/13/2018Contact InformationPractice LocationPractice Address111 Colchester Ave, Burlington, VT 05401-1473Phone(802) 847-2415FaxUnlisted FaxMailing LocationMailing Address3490 California St, Suite 201, San Francisco, CA 94118-1891PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicense042.0014177VermontCode207L00000XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseA110918California