| Ashley Rick, | |
|
89 Main St, Middlebury, VT 05753-1459 | |
| (802) 388-0302 | |
| (802) 388-8183 |
| Full Name | Ashley Rick |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 89 Main St, Middlebury, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093180689 | NPI | - | NPPES |
| 1336278985 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000689 (Vermont) | Primary |
| Entity Name | Community Health Centers Of The Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336193838 PECOS PAC ID: 2961467386 Enrollment ID: O20041129000357 |
| Entity Name | Community Health Centers Of The Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073567590 PECOS PAC ID: 2961467386 Enrollment ID: O20041129000784 |
| Entity Name | Community Health Centers Of The Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104870922 PECOS PAC ID: 2961467386 Enrollment ID: O20050131001023 |
| Entity Name | Community Health Centers Of The Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467681114 PECOS PAC ID: 2961467386 Enrollment ID: O20100804000784 |
| Entity Name | Community Health Centers Of The Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780969345 PECOS PAC ID: 2961467386 Enrollment ID: O20120321000420 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Rick, 89 Main St, Middlebury, VT 05753-1459 Ph: (802) 388-0302 | Ashley Rick, 89 Main St, Middlebury, VT 05753-1459 Ph: (802) 388-0302 |
Amelia Hart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 89 Main St, Middlebury, VT 05753 Phone: 802-388-6751 Fax: 802-388-3108 | |
Joseph W Prather, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Catamount Park, Middlebury, VT 05753 Phone: 802-388-6751 Fax: 802-388-8183 | |
Dr. Isabeall Talmadge Logan, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 89 Main St., Counseling Service Of Addison County, Middlebury, VT 05753 Phone: 802-377-2852 | |
Gina Normand, Counselor Medicare: Medicare Enrolled Practice Location: 67 Catamount Park, Middlebury, VT 05753 Phone: 802-388-8188 Fax: 802-388-8183 | |
Emily Kallock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 89 Main St, Middlebury, VT 05753 Phone: 802-388-6751 Fax: 802-388-3108 | |
Per Ordal Eisenman, Counselor Medicare: Accepting Medicare Assignments Practice Location: 67 Catamount Park, Middlebury, VT 05753 Phone: 802-388-6751 Fax: 802-388-8183 |