| Dr Sandra E Kapsalis, MD | |
|
89 Main St, Essex Jct, VT 05452-3207 | |
| (802) 879-6556 | |
| (802) 872-8021 |
| Full Name | Dr Sandra E Kapsalis |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 89 Main St, Essex Jct, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497743827 | NPI | - | NPPES |
| OVN1999 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 042-000-9859 (Vermont) | Primary |
| Entity Name | Essex Pediatrics Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104925817 PECOS PAC ID: 8527211341 Enrollment ID: O20130103000341 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sandra E Kapsalis, MD 89 Main St, Essex Jct, VT 05452-3207 Ph: (802) 879-6556 | Dr Sandra E Kapsalis, MD 89 Main St, Essex Jct, VT 05452-3207 Ph: (802) 879-6556 |
Dr. Paul Mclane Costello, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 89 Main St, Essex Jct, VT 05452 Phone: 802-879-6556 Fax: 802-872-8021 | |
Dr. David E Stifler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 89 Main St, Essex Jct, VT 05452 Phone: 802-879-6556 Fax: 802-872-8021 | |
Dr. Elizabeth H Jillson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 89 Main St, Essex Jct, VT 05452 Phone: 802-879-6556 Fax: 802-872-8021 | |
Dr. Jerry Steven Hale, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 89 Main St, Essex Jct, VT 05452 Phone: 802-879-6556 Fax: 802-872-8021 | |
Meredith Davies Monahan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 89 Main St, Essex Jct, VT 05452 Phone: 802-879-6556 Fax: 802-872-8021 |