Nanette M Wessel Kissenberth, DO | |
859 Old County Rd, Waitsfield, VT 05673-6221 | |
(802) 496-3838 | |
(802) 496-5586 |
Full Name | Nanette M Wessel Kissenberth |
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Gender | Female |
Speciality | Family Medicine |
Location | 859 Old County Rd, Waitsfield, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619133683 | NPI | - | NPPES |
1018957 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 25MB08405700 (New Jersey) | Secondary |
207Q00000X | Family Medicine | 032.0073723 (Vermont) | Primary |
Entity Name | Central Vermont Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023028784 PECOS PAC ID: 9335138817 Enrollment ID: O20051220000393 |
Mailing Address | Practice Location Address |
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Nanette M Wessel Kissenberth, DO Po Box 547, Central Vermont Medical Center - Finance Dept, Barre, VT 05641-0547 Ph: (802) 496-3838 | Nanette M Wessel Kissenberth, DO 859 Old County Rd, Waitsfield, VT 05673-6221 Ph: (802) 496-3838 |
Jennifer Selland, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 859 Old County Rd, Waitsfield, VT 05673 Phone: 802-225-3938 Fax: 802-371-4491 | |
Dr. Francis W Cook, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 859 Old County Rd, Waitsfield, VT 05673 Phone: 802-496-3838 Fax: 802-496-5586 |