| Dr Ann S Wittpenn, MD | |
|
353 Blair Park Rd, Williston, VT 05495-7530 | |
| (802) 847-1440 | |
| Not Available |
| Full Name | Dr Ann S Wittpenn |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 353 Blair Park Rd, Williston, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215952890 | NPI | - | NPPES |
| 1005386 | Medicaid | VT | |
| E01748232 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 42-0009238 (Vermont) | Primary |
| Entity Name | University Of Vermont Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ann S Wittpenn, MD 353 Blair Park Road, Williston, VT 05495 Ph: (802) 847-1440 | Dr Ann S Wittpenn, MD 353 Blair Park Rd, Williston, VT 05495-7530 Ph: (802) 847-1440 |
Michelle Tamara Shepard, M.D., PHD. Pediatrics Medicare: Medicare Enrolled Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1440 | |
Eliot W. Nelson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1440 Fax: 802-847-3014 | |
Pamela Lee Jackson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1440 Fax: 802-847-3014 |