| Jenna Gale Winebaum, MD | |
|
111 Colchester Ave, Burlington, VT 05401-1473 | |
| (802) 847-0000 | |
| Not Available |
| Full Name | Jenna Gale Winebaum |
|---|---|
| Gender | Female |
| Speciality | Urology |
| 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 |
|---|---|---|---|
| 1760977474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | LL52836 (South Carolina) | Secondary |
| 208800000X | Urology | 042.0018791 (Vermont) | Primary |
| Entity Name | University Of California San Francisco |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
| Entity Name | Ucsf Medical Group Business Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
| Entity Name | City & County Of San Francisco |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982737524 PECOS PAC ID: 1658280748 Enrollment ID: O20050309000770 |
| Entity Name | University Of California Sfgh Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407821465 PECOS PAC ID: 5496668410 Enrollment ID: O20050328001098 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Gale Winebaum, MD 111 Colchester Ave, Burlington, VT 05401-1473 Ph: () - | Jenna Gale Winebaum, MD 111 Colchester Ave, Burlington, VT 05401-1473 Ph: (802) 847-0000 |
Eric Richmond Sargent, M.D. Urology Medicare: Medicare Enrolled Practice Location: 111 Colchester Avenue, East Pavilion 5, Burlington, VT 05401 Phone: 802-847-2884 Fax: 802-847-6020 | |
Elizabeth Ann Stampfl, PA Urology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, East Pavilion-level 5-urology, Burlington, VT 05401 Phone: 802-847-2884 Fax: 802-847-6020 | |
Andrew C Mahoney, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 407-847-4097 | |
Benjamin King, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave # Ep-5, Burlington, VT 05401 Phone: 802-847-2884 | |
Dr. Mark Kenneth Plante, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, East Pavilion-level 5 Urology, Burlington, VT 05401 Phone: 802-847-2884 Fax: 802-847-6020 | |
John A Bisson, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 64 Colchester Ave, Burlington, VT 05401 Phone: 802-863-0107 Fax: 802-658-9292 | |
Richard T Grunert, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-4097 |