| Carey J Brodzinski, NP | |
|
185 Sherman Drive, Suite 1, St Johnsbury, VT 05819 | |
| (802) 748-5041 | |
| (802) 748-5094 |
| Full Name | Carey J Brodzinski |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 185 Sherman Drive, St Johnsbury, 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 |
|---|---|---|---|
| 1225093636 | NPI | - | NPPES |
| 0NP2800 | Medicaid | VT | |
| P21615 | Other | VT | MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1010020383 (Vermont) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 101-0020383 (Vermont) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Little Rivers Health Care, Inc. | 8224031497 | 25 |
| Little Rivers Health Care, Inc. | 8224031497 | 25 |
| Entity Name | Northeast Kingdom Human Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043372709 PECOS PAC ID: 0941276703 Enrollment ID: O20041012001355 |
| Entity Name | Little Rivers Health Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033163555 PECOS PAC ID: 8224031497 Enrollment ID: O20061003000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Carey J Brodzinski, NP 165 Sherman Dr, St Johnsbury, VT 05819-9811 Ph: (802) 748-9405 | Carey J Brodzinski, NP 185 Sherman Drive, Suite 1, St Johnsbury, VT 05819 Ph: (802) 748-5041 |
Melanie Clarke, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2225 Portland St, St Johnsbury, VT 05819 Phone: 802-748-3181 | |
Jane Helena Micciche, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 97 Sherman Dr, Suite 1, St Johnsbury, VT 05819 Phone: 802-748-5131 Fax: 802-748-4237 | |
Joyce A Vitale, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819 Phone: 802-748-7500 Fax: 802-745-1188 | |
Elaine L Robinson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 185 Sherman Drive, Suite 2, St Johnsbury, VT 05819 Phone: 802-748-5174 Fax: 802-748-4878 | |
Geraldine Marie Tookey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2225 Portland St, St Johnsbury, VT 05819 Phone: 802-334-6744 | |
Allison Marie Ebrahimi Gold, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 185 Sherman Dr, St Johnsbury, VT 05819 Phone: 802-748-5041 |