| Living Well Spinal Care Center | |
|
3000 Williston Rd, Suite 3, South Burlington, VT 05403-6082 | |
| (802) 658-6092 | |
| (802) 863-9565 |
| Full Name | Living Well Spinal Care Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3000 Williston Rd, South Burlington, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366618118 | NPI | - | NPPES |
| TIFF00018436 | Other | VT | BCBS |
| VN3492 | Other | VT | MEDICARE GROUP ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 0060000905 (Vermont) | Primary |
| Provider Name | Tiffany Renaud |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326122623 PECOS PAC ID: 5092783001 Enrollment ID: I20040917000821 |
| Provider Name | Lauren R Angello |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265124812 PECOS PAC ID: 2769841147 Enrollment ID: I20230703001007 |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Spinal Care Center 3000 Williston Rd, Suite 3, South Burlington, VT 05403-6082 Ph: (802) 658-6092 | Living Well Spinal Care Center 3000 Williston Rd, Suite 3, South Burlington, VT 05403-6082 Ph: (802) 658-6092 |
Jennifer M Farrugia, ATC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 185 Tilley Dr, South Burlington, VT 05403 Phone: 802-879-1703 Fax: 802-863-9299 | |
Dr. Diana Adele Harkness, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 4 Market St Ste 2, South Burlington, VT 05403 Phone: 802-497-2938 | |
Jenness Lee Kocsis, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 185 Tilley Dr, South Burlington, VT 05403 Phone: 802-879-1703 | |
Dr. Richard B Marko, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2041 Williston Rd, South Burlington, VT 05403 Phone: 802-863-0334 Fax: 802-862-6604 | |
Dr. Dawn Ford, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 20 Kimball Ave, South Burlington, VT 05403 Phone: 802-343-3900 | |
Dr. John Glemb, Chiropractor Medicare: Medicare Enrolled Practice Location: 20 Joy Dr, Suite 100, South Burlington, VT 05403 Phone: 716-628-2936 | |
Dr. Paul M Samuel, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 595 Dorset St Ste 8, South Burlington, VT 05403 Phone: 802-557-8568 |