| Craig R Vantuinen, MD | |
|
2225 Portland Street, St Johnsbury, VT 05819 | |
| (802) 748-3181 | |
| (802) 748-0704 |
| Full Name | Craig R Vantuinen |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2225 Portland Street, St Johnsbury, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699815365 | NPI | - | NPPES |
| 0VN0268 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 042-0007844 (Vermont) | Primary |
| Entity Name | Northeast Kingdom Human Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043372709 PECOS PAC ID: 0941276703 Enrollment ID: O20041012001355 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig R Vantuinen, MD 13 Winooski Street, Po Box 78, Waterbury, VT 05676-0078 Ph: () - | Craig R Vantuinen, MD 2225 Portland Street, St Johnsbury, VT 05819 Ph: (802) 748-3181 |
Dr. Alice Hershey Silverman, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 407 Spring St, St Johnsbury, VT 05819 Phone: 802-748-9867 Fax: 802-748-8985 | |
Dr. Louis Jay Frank, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 459 Portland St - Suite 6, St Johnsbury, VT 05819 Phone: 802-748-9000 Fax: 802-748-9031 | |
Dr. Beatrice Anne Johnson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2225 Portland Street, St Johnsbury, VT 05819 Phone: 802-748-3131 | |
Amanda Van Straten, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-7382 |