| Medoptions Of Vermont Llc | |
|
100 N Main St Suite 2 Barre VT 05641-4150 | |
| (860) 788-6404 | |
| (860) 829-0495 |
| Full Name | Medoptions Of Vermont Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 100 N Main St, Barre, Vermont |
| Authorized Official Name and Position | Teresa Trojanowski (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 8607886404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medoptions Of Vermont Llc Po Box 1595 Middletown CT 06457-8095 Ph: (860) 788-6404 | Medoptions Of Vermont Llc 100 N Main St Suite 2 Barre VT 05641-4150 Ph: (860) 788-6404 |
| NPI Number | 1114479730 |
|---|---|
| Provider Enumeration Date | 10/31/2016 |
| Last Update Date | 04/15/2020 |
| Certification Date | 04/15/2020 |
| Medicare PECOS PAC ID | 0547541260 |
|---|---|
| Medicare Enrollment ID | O20170111000999 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114479730 | NPI | - | NPPES |
| Provider Name | Jeremy R Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043441306 PECOS PAC ID: 8820134141 Enrollment ID: I20090930000059 |
| Provider Name | Mary Kanard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104165695 PECOS PAC ID: 2163677782 Enrollment ID: I20130429000519 |
| Provider Name | Tiney Elizabeth Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154331346 PECOS PAC ID: 3870680457 Enrollment ID: I20170306002079 |
| Provider Name | Eden Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518087691 PECOS PAC ID: 0143591552 Enrollment ID: I20170803001493 |
| Provider Name | Kerry O'hara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265989438 PECOS PAC ID: 5597043125 Enrollment ID: I20171213000408 |
| Provider Name | Meeraben Majmudar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922372077 PECOS PAC ID: 9436432630 Enrollment ID: I20190306002023 |
| Provider Name | Belinda Deone Tyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225310881 PECOS PAC ID: 8527220862 Enrollment ID: I20190724000148 |
| Provider Name | Sabrina Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760789101 PECOS PAC ID: 5597904706 Enrollment ID: I20200303001028 |
| Provider Name | Heather Rasmussen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972741387 PECOS PAC ID: 5698913358 Enrollment ID: I20200327000465 |
| Provider Name | Barbara Spear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114559531 PECOS PAC ID: 8224459037 Enrollment ID: I20200603001987 |
| Provider Name | Julie Pickholtz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790826907 PECOS PAC ID: 9234198540 Enrollment ID: I20210329001230 |
| Provider Name | Erika Updegrove |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811278575 PECOS PAC ID: 2769736768 Enrollment ID: I20210401001121 |
| Provider Name | Ann M Hetzel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922327105 PECOS PAC ID: 8123336948 Enrollment ID: I20210602002039 |
| Provider Name | Deborah Tenenbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013526466 PECOS PAC ID: 5092108167 Enrollment ID: I20220214000740 |
| Provider Name | Jennifer Glidewell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588199970 PECOS PAC ID: 8325428907 Enrollment ID: I20220701000698 |
| Provider Name | Tatum Siebert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528389566 PECOS PAC ID: 8527462886 Enrollment ID: I20230331001984 |
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