| Jack J Heddon, MA, NCC | |
|
51 Fairview Street, Brattleboro, VT 05301-8881 | |
| (802) 254-6028 | |
| (802) 254-7501 |
| Full Name | Jack J Heddon |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 30 Years |
| Location | 51 Fairview Street, 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 |
|---|---|---|---|
| 1164587481 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mary Hitchcock Memorial Hospital | Lebanon, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mary Hitchcock Memorial Hospital | 4486561164 | 1269 |
| Entity Name | Mary Hitchcock Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258 |
| Entity Name | Dartmouth-hitchcock Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
| Entity Name | Cheshire Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093803397 PECOS PAC ID: 1456260165 Enrollment ID: O20070913000090 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack J Heddon, MA, NCC 390 River St, Springfield, VT 05156-2226 Ph: (802) 886-4500 | Jack J Heddon, MA, NCC 51 Fairview Street, Brattleboro, VT 05301-8881 Ph: (802) 254-6028 |
Edward M Harty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 70 Western Ave, Brattleboro, VT 05301 Phone: 802-376-5021 |
Brian Davis, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Town Crier Dr, Suite 1, Brattleboro, VT 05301 Phone: 802-258-4629 |
Anthony S Parmenter, MA, LCMHC, AAP, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Anna Marsh Ln., Brattleboro, VT 05301 Phone: 802-258-6718 |
Michael Burrows, N/A Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Town Crier Dr, Brattleboro, VT 05301 Phone: 802-258-4623 |
Kristin Lw Bratton, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Fairview Street, Brattleboro, VT 05301 Phone: 802-254-6028 |
Lacey Haberstroh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Town Crier Dr, Brattleboro, VT 05301 Phone: 802-689-8900 |
Jennifer Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Town Crier Dr, Brattleboro, VT 05301 Phone: 802-256-4623 Fax: 802-258-4628 |