| Daniel Goulette, | |
|
617 Riverside Ave, Burlington, VT 05401-1601 | |
| (802) 864-6309 | |
| (802) 860-4313 |
| Full Name | Daniel Goulette |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 617 Riverside Ave, Burlington, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285031872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 055.0031230 (Vermont) | Primary |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Ideal Option PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457788275 PECOS PAC ID: 6709013105 Enrollment ID: O20131210001184 |
| Entity Name | Ideal Telemedicine Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346754868 PECOS PAC ID: 2860726221 Enrollment ID: O20190716002000 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Goulette, 500 Sw 7th St Ste A205, Renton, WA 98057-2983 Ph: (509) 222-1275 | Daniel Goulette, 617 Riverside Ave, Burlington, VT 05401-1601 Ph: (802) 864-6309 |
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 |