| Suzanne Monzel, Plc | |
|
188 Allen Brook Ln Williston VT 05495-9303 | |
| (802) 876-4000 | |
| (802) 876-4001 |
| Full Name | Suzanne Monzel, Plc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 188 Allen Brook Ln, Williston, Vermont |
| Authorized Official Name and Position | Suzanne Monzel (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8028764000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne Monzel, Plc 188 Allen Brook Ln Williston VT 05495-9303 Ph: (802) 876-4000 | Suzanne Monzel, Plc 188 Allen Brook Ln Williston VT 05495-9303 Ph: (802) 876-4000 |
| NPI Number | 1225262199 |
|---|---|
| Provider Enumeration Date | 05/07/2009 |
| Last Update Date | 05/07/2009 |
| Medicare PECOS PAC ID | 7719031756 |
|---|---|
| Medicare Enrollment ID | O20090811000176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225262199 | NPI | - | NPPES |
| 1015737 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0890000916 (Vermont) | Primary |
| 251S00000X | Community/behavioral Health | 000168 (Vermont) | Secondary |
| Provider Name | Suzanne M Monzel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083744197 PECOS PAC ID: 6204998917 Enrollment ID: I20090204000105 |
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