| Ethan W Gilson, | |
|
476 Main St, Winooski, VT 05404-1300 | |
| (802) 363-1602 | |
| Not Available |
| Full Name | Ethan W Gilson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 476 Main St, Winooski, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104374826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000728 (Vermont) | Primary |
| Entity Name | The Richford Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803297 PECOS PAC ID: 7012825631 Enrollment ID: O20040313000183 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan W Gilson, Po Box 102, Winooski, VT 05404-0102 Ph: (802) 363-1602 | Ethan W Gilson, 476 Main St, Winooski, VT 05404-1300 Ph: (802) 363-1602 |
Josephine M Corcoran, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 W Canal St, Suite C/2, Winooski, VT 05404 Phone: 802-654-7600 Fax: 802-654-7601 | |
Mr. David Gauthier, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 432 Main St, Winooski, VT 05404 Phone: 802-655-3311 | |
Miss Diana Buchanan, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 486 Main St, Winooski, VT 05404 Phone: 802-865-3450 | |
Ms. Katherine Hudspeth Maynard, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 W Canal St, Suite C2, Winooski, VT 05404 Phone: 802-654-7600 Fax: 802-654-7601 | |
Mr. Matthew Bijur, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 W Canal St, Winooski, VT 05404 Phone: 802-598-1060 Fax: 802-425-5435 | |
Mary Katherine Studley, Counselor Medicare: Medicare Enrolled Practice Location: 11 River St, Winooski, VT 05404 Phone: 802-363-4108 |