| Patricia I Jaqua, MD | |
|
528 Washington Hwy, Morrisville, VT 05661-8973 | |
| (802) 888-8888 | |
| Not Available |
| Full Name | Patricia I Jaqua |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 528 Washington Hwy, Morrisville, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871516161 | NPI | - | NPPES |
| 00005932 | Other | VT | BLUE CROSS |
| 0005932 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0420007078 (Vermont) | Primary |
| Entity Name | Littleton Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144223702 PECOS PAC ID: 6901796556 Enrollment ID: O20040322000785 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia I Jaqua, MD 528 Washington Hwy, Morrisville, VT 05661-8973 Ph: () - | Patricia I Jaqua, MD 528 Washington Hwy, Morrisville, VT 05661-8973 Ph: (802) 888-8888 |
Robin Cotter, MD Surgery Medicare: Medicare Enrolled Practice Location: 528 Washington Hwy, Morrisville, VT 05661 Phone: 802-888-8888 Fax: 802-888-8131 | |
Cathryn Dyeanne Racette, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 530 Washington Highway, Health Center Building Suite 3, Morrisville, VT 05661 Phone: 802-888-2311 Fax: 802-888-0031 | |
Brian F Smale, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 530 Washington Highway, Health Center Building Suite 3, Morrisville, VT 05661 Phone: 802-888-2311 Fax: 802-888-0031 | |
Sarah Jane Waterman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 528 Washington Hwy, Morrisville, VT 05661 Phone: 802-888-8372 | |
Dr. Donald English Dupuis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 528 Washington Hwy, Morrisville, VT 05661 Phone: 802-888-8888 Fax: 802-888-8203 |