| Clara Martell, PA-C | |
|
278 Vt Route 149, West Pawlet, VT 05775-9798 | |
| (802) 645-0580 | |
| (802) 645-0587 |
| Full Name | Clara Martell |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 278 Vt Route 149, West Pawlet, 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 |
|---|---|---|---|
| 1083973853 | NPI | - | NPPES |
| 04212759 | Medicaid | NY | |
| 9000564 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bayada Home Health Care, Inc. | Rutland, VT | Home health agency |
| Rutland Regional Medical Center | Rutland, VT | Hospital |
| Glens Falls Hospital | Glens falls, NY | Hospital |
| Mary Hitchcock Memorial Hospital | Lebanon, NH | Hospital |
| Southwestern Vermont Medical Center | Bennington, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Health Centers Of The Rutland Region Inc | 2961467386 | 103 |
| Entity Name | Community Health Centers of the Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336193838 PECOS PAC ID: 2961467386 Enrollment ID: O20041129000357 |
| Entity Name | Community Health Centers of the Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104870922 PECOS PAC ID: 2961467386 Enrollment ID: O20050131001023 |
| Entity Name | Community Health Centers of the Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467681114 PECOS PAC ID: 2961467386 Enrollment ID: O20100804000784 |
| Entity Name | Community Health Centers of the Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780969345 PECOS PAC ID: 2961467386 Enrollment ID: O20120321000420 |
| Mailing Address | Practice Location Address |
|---|---|
| Clara Martell, PA-C 71 Allen St, Suite 101, Rutland, VT 05701-4570 Ph: (802) 772-4414 | Clara Martell, PA-C 278 Vt Route 149, West Pawlet, VT 05775-9798 Ph: (802) 645-0580 |
Jordan David Carr, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 278 Vt 149, West Pawlet, VT 05775 Phone: 802-645-0580 |
Michael J Dashnaw, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 278 Vt Route 149, West Pawlet, VT 05775 Phone: 802-645-0580 Fax: 802-645-0587 |