| Judy A Nelson, MD | |
|
1 General Wing Rd, Rutland, VT 05701-4681 | |
| (802) 773-9131 | |
| (802) 775-6141 |
| Full Name | Judy A Nelson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1 General Wing Rd, Rutland, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124152251 | NPI | - | NPPES |
| 286234 | Other | NH | CIGNA NH |
| 01177095 | Medicaid | NY | |
| 1002916 | Medicaid | VT | |
| 26156 | Other | MVP (MOHAWK VALLEY HP) | |
| 5457 | Other | VT | VT BLUE CROSS BLUE SHIELD |
| 1345435-001 | Other | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0420008063 (Vermont) | Primary |
| Entity Name | Community Health Centers Of The Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336193838 PECOS PAC ID: 2961467386 Enrollment ID: O20041129000357 |
| Entity Name | Community Health Centers Of The Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104870922 PECOS PAC ID: 2961467386 Enrollment ID: O20050131001023 |
| Entity Name | Community Health Centers Of The Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467681114 PECOS PAC ID: 2961467386 Enrollment ID: O20100804000784 |
| Entity Name | Community Health Centers Of The Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780969345 PECOS PAC ID: 2961467386 Enrollment ID: O20120321000420 |
| Mailing Address | Practice Location Address |
|---|---|
| Judy A Nelson, MD 71 Allen St, Ste 403, Rutland, VT 05701-4570 Ph: (802) 855-2027 | Judy A Nelson, MD 1 General Wing Rd, Rutland, VT 05701-4681 Ph: (802) 773-9131 |
Rebecca Emily Merrifox, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 General Wing Rd, Rutland, VT 05701 Phone: 802-773-9131 | |
Dr. David I. Schneider, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 General Wing Rd, Rutland, VT 05701 Phone: 802-773-9131 Fax: 802-773-1551 | |
Dr. Robert A. Hession, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 General Wing Rd, Rutland, VT 05701 Phone: 802-773-9131 Fax: 802-775-6141 | |
Dr. Stephen J. Wood, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 General Wing Rd, Rutland, VT 05701 Phone: 802-773-9131 Fax: 802-775-6141 | |
Amy E Ferguson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 General Wing Rd, Chcrr Pediatrics, Rutland, VT 05701 Phone: 802-773-9131 Fax: 802-773-1551 | |
Mrs. Delia Marie Horn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 General Wing Rd, Rutland, VT 05701 Phone: 802-773-9131 Fax: 802-773-1551 |