| Dr Peter Raymond Casson, MD | |
|
105 Westview Rd, Suite 302, Colchester, VT 05446-8025 | |
| (802) 655-8888 | |
| (802) 985-2566 |
| Full Name | Dr Peter Raymond Casson |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 105 Westview Rd, Colchester, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295741965 | NPI | - | NPPES |
| 02064762 | Other | NY | NY MEDICAID |
| 0VN2218 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 042-0009989 (Vermont) | Primary |
| 207VE0102X | Obstetrics & Gynecology - Reproductive Endocrinology | 042-0009989 (Vermont) | Secondary |
| Entity Name | Northeastern Reproductive Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982016689 PECOS PAC ID: 2365669736 Enrollment ID: O20140807001693 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter Raymond Casson, MD 105 Westview Rd, Suite 302, Colchester, VT 05446-8025 Ph: (802) 655-8888 | Dr Peter Raymond Casson, MD 105 Westview Rd, Suite 302, Colchester, VT 05446-8025 Ph: (802) 655-8888 |
Christine Adrienne Murray, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 105 Westview Road, Suite 302, Colchester, VT 05446 Phone: 802-655-8888 Fax: 802-985-2566 | |
Jennifer Keller Brown, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 105 Westview Rd, Suite 302, Colchester, VT 05446 Phone: 802-655-8888 Fax: 802-985-2566 |