| Alicyn Trask, PA | |
|
617 Riverside Ave, Burlington, VT 05401-1601 | |
| (303) 360-6276 | |
| (303) 205-6884 |
| Full Name | Alicyn Trask |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 617 Riverside Ave, Burlington, Vermont |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841331261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 055.0031483 (Vermont) | Primary |
| 363A00000X | Physician Assistant | PA.0002231 (Colorado) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Vermont Medical Center | Burlington, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Green Mountain Dermatology Pllc | 4688011992 | 15 |
| Community Health Centers Of Burlington Inc | 2062491251 | 84 |
| Entity Name | Community Health Centers of Burlington Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689678963 PECOS PAC ID: 2062491251 Enrollment ID: O20040720000792 |
| Entity Name | Four Seasons Dermatology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790737393 PECOS PAC ID: 8820062946 Enrollment ID: O20040824001173 |
| Entity Name | Green Mountain Dermatology PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093577827 PECOS PAC ID: 4688011992 Enrollment ID: O20240322000288 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicyn Trask, PA 617 Riverside Ave, Burlington, VT 05401-1601 Ph: (802) 864-6309 | Alicyn Trask, PA 617 Riverside Ave, Burlington, VT 05401-1601 Ph: (303) 360-6276 |
Kimberly Ann Holbrook, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, 354mp2, Burlington, VT 05401 Phone: 802-847-3496 Fax: 802-847-0574 |
Mrs. Cheryl Gagnon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-864-0111 |
Ms. Christine Yvette O'neill, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 111 Colchester Ave, Fahc Radiology Department, Burlington, VT 05401 Phone: 802-847-8359 |
Oliver Barkley, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 111 Colchester Ave, 205wp1, Burlington, VT 05401 Phone: 802-847-3982 |
Lauren Pelski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000 |
Abraham Sender, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-1158 Fax: 802-847-2444 |
Ms. Lianna Ruth Percy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309 Fax: 802-860-4325 |