| 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 |
|---|---|
| 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 |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB08405700 (New Jersey) | Secondary |
| 207Q00000X | Family Medicine | 032.0073723 (Vermont) | Primary |
| Entity Name | Central Vermont Medical Center Inc |
|---|---|
| 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 |
|---|---|
| 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 |
John A Wilson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 859 Old County Rd, Waitsfield, VT 05673 Phone: 802-496-6565 | |
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 |