| Per Ordal Eisenman, | |
|
67 Catamount Park, Middlebury, VT 05753-1397 | |
| (802) 388-6751 | |
| (802) 388-8183 |
| Full Name | Per Ordal Eisenman |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 67 Catamount Park, Middlebury, 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 |
|---|---|---|---|
| 1104565985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0680134620 (Vermont) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Counseling Service Of Addison County Inc | 2062304439 | 11 |
| Entity Name | Counseling Service Of Addison County Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336278985 PECOS PAC ID: 2062304439 Enrollment ID: O20040329001379 |
| Mailing Address | Practice Location Address |
|---|---|
| Per Ordal Eisenman, 89 Main St, Middlebury, VT 05753-1483 Ph: (802) 388-6751 | Per Ordal Eisenman, 67 Catamount Park, Middlebury, VT 05753-1397 Ph: (802) 388-6751 |
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 | |
Ashley Rick, Counselor Medicare: Medicare Enrolled Practice Location: 89 Main St, Middlebury, VT 05753 Phone: 802-388-0302 Fax: 802-388-8183 |