| Roya Mansoorani, MD | |
|
11 Crest Rd, Saint Albans, VT 05478-9701 | |
| (802) 527-8189 | |
| (802) 527-8187 |
| Full Name | Roya Mansoorani |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 11 Crest Rd, Saint Albans, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073641890 | NPI | - | NPPES |
| 38096 | Other | VT | BLUE CROSS BLUE SHIELD |
| 1006271 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 0420009551 (Vermont) | Secondary |
| 208000000X | Pediatrics | 042-0009551 (Vermont) | Primary |
| Entity Name | Primary Care Health Partners - Vermont Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285687616 PECOS PAC ID: 7810896032 Enrollment ID: O20040205000572 |
| Mailing Address | Practice Location Address |
|---|---|
| Roya Mansoorani, MD 600 Blair Park Rd Ste 285, Williston, VT 05495-7586 Ph: (802) 288-1140 | Roya Mansoorani, MD 11 Crest Rd, Saint Albans, VT 05478-9701 Ph: (802) 527-8189 |
Robert Harry Tyson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Crest Rd, Saint Albans, VT 05478 Phone: 802-527-8189 Fax: 802-527-8187 | |
Frederick C Holmes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11 Crest Rd, Saint Albans, VT 05478 Phone: 802-527-8189 Fax: 802-527-8187 | |
Heidi Zvolensky, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Crest Rd, Saint Albans, VT 05478 Phone: 802-527-8189 Fax: 802-527-8187 | |
Dr. Laura Ann Bellstrom, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Crest Rd, Saint Albans, VT 05478 Phone: 802-527-8189 Fax: 802-527-8187 | |
Emanuele Q Chiappinelli, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Crest Rd, Saint Albans, VT 05478 Phone: 802-527-8189 Fax: 802-527-8187 |