| Zachary Wigham, | |
|
1 Anna Marsh Ln., Brattleboro, VT 05301 | |
| (802) 258-4388 | |
| Not Available |
| Full Name | Zachary Wigham |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 1 Anna Marsh Ln., Brattleboro, Vermont |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538569918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 089.0134287 (Vermont) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brattleboro Retreat | 7012828908 | 61 |
| Entity Name | Brattleboro Retreat |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730185232 PECOS PAC ID: 7012828908 Enrollment ID: O20041123000627 |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary Wigham, 1 Anna Marsh Ln., Brattleboro, VT 05301 Ph: (802) 258-4388 | Zachary Wigham, 1 Anna Marsh Ln., Brattleboro, VT 05301 Ph: (802) 258-4388 |
Margaret B Shelby, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Strand Ave, Brattleboro, VT 05301 Phone: 802-251-1057 Fax: 802-251-1058 |
Melanie Rifkin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 189 Hillwinds N, Brattleboro, VT 05301 Phone: 215-880-4898 |
Kurt White, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Anna Marsh Lane, Brattleboro, VT 05302 Phone: 802-257-7785 |
Mrs. Caroline Lee Henderson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Anna Marsh Lane, Brattleboro, VT 05302 Phone: 802-257-7785 |
Susan J Shepherd, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 Whipple St, Brattleboro, VT 05301 Phone: 802-254-5497 |
Ms. Megan Schwarz Hawthorne, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1037 Western Ave, Brattleboro, VT 05301 Phone: 802-254-3489 |
Diane Carol Hicks, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 54 Harris Pl Ste 105, Brattleboro, VT 05301 Phone: 413-345-8974 |