| Conner Soderquist, | |
|
82 Catamount Park, Middlebury, VT 05753-1292 | |
| (802) 388-7185 | |
| (802) 388-3445 |
| Full Name | Conner Soderquist |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 6 Years |
| Location | 82 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 |
|---|---|---|---|
| 1629605647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 042.0016874 (Vermont) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bayada Home Health Care | Williston, VT | Home health agency |
| Univ. Of Vermont - Fletcher Allen Health Care | Burlington, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Evergreen Family Health Partners | 1153402888 | 20 |
| Entity Name | Evergreen Family Health Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588790562 PECOS PAC ID: 1153402888 Enrollment ID: O20080118000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Conner Soderquist, 111 Colchester Ave, Burlington, VT 05401-1473 Ph: (802) 847-0000 | Conner Soderquist, 82 Catamount Park, Middlebury, VT 05753-1292 Ph: (802) 388-7185 |
Dr. Brian J Carlozzi, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Porter Dr, Middlebury, VT 05753 Phone: 802-388-5611 | |
Timothy T Cope, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 82 Catamount Park, Middlebury, VT 05753 Phone: 802-388-7185 Fax: 802-388-3445 | |
Dr. Jessica Alice Rouse, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5 Park St Ste 3a, Middlebury, VT 05753 Phone: 802-388-7185 Fax: 802-388-3445 | |
Dr. Jean Andersson-swayze, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1330 Exchange St, Middlebury, VT 05753 Phone: 802-388-1500 | |
Dr. Gail B Fayre, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 115 Porter Dr, Middlebury, VT 05753 Phone: 802-388-4430 | |
Dr. Deborah S. Huber, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 82 Catamount Park, Exchange Street, Middlebury, VT 05753 Phone: 802-388-6777 Fax: 802-388-3445 | |
Mei Lee Frankish, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Porter Dr, Middlebury, VT 05753 Phone: 802-388-4430 |