| Dr Andrew Charles Bushnell, MD | |
|
111 Colchester Ave, Fahc, Emergency Department, Burlington, VT 05401-1473 | |
| (802) 847-3982 | |
| (802) 847-5963 |
| Full Name | Dr Andrew Charles Bushnell |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 111 Colchester Ave, Burlington, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447274360 | NPI | - | NPPES |
| 30205448 | Medicaid | NH | |
| E01688095 | Medicaid | NY | |
| 1009259 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 042-0010495 (Vermont) | Primary |
| Entity Name | Emergency Physician Services Of New York, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093759847 PECOS PAC ID: 8325939804 Enrollment ID: O20041001000684 |
| Entity Name | Emergency Care Services Of New York Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639236656 PECOS PAC ID: 3678678646 Enrollment ID: O20070419000474 |
| Entity Name | New York General Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700315538 PECOS PAC ID: 7810255494 Enrollment ID: O20180103003151 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210831002021 |
| Entity Name | Cs Pacs 3 Northeast, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093598898 PECOS PAC ID: 0941656607 Enrollment ID: O20231101000632 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew Charles Bushnell, MD 8 Debra Dr, Essex Junction, VT 05452-3414 Ph: () - | Dr Andrew Charles Bushnell, MD 111 Colchester Ave, Fahc, Emergency Department, Burlington, VT 05401-1473 Ph: (802) 847-3982 |
William Alexander Manning, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000 | |
Dr. Richard Page Hudson Iii, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Fahc Emergency Department, Burlington, VT 05401 Phone: 802-847-3982 Fax: 802-847-5963 | |
Dr. Daniel John Ackil, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-2434 | |
John I Ellis, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Mchv Campus - Ed, Burlington, VT 05401 Phone: 802-847-3982 | |
David H Murman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-875-1237 | |
Elizabeth N Malik, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000 | |
Dr. David Ward Clauss, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Fahc Emergency Department, Burlington, VT 05401 Phone: 802-847-3982 Fax: 802-847-5963 |