| Jaime R Callaghan, DNP, FNP-BC | |
| 
					205 Cornerstone Dr, Williston, VT 05495-4035  | |
| (802) 878-8330 | |
| (802) 878-8344 | 
| Full Name | Jaime R Callaghan | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 205 Cornerstone Dr, Williston, Vermont | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1982029542 | NPI | - | NPPES | 
| 1982029542 | Other | VA | VIRGINIA PREMIER HEALTH PLAN | 
| 1982029542 | Other | VA | MULTIPLAN | 
| 1982029542 | Other | VA | CORVEL | 
| 1982029542 | Medicaid | VA | |
| 1982029542 | Other | VA | OPTIMA HEALTH | 
| 1982029542 | Medicaid | NC | |
| 1982029542 | Other | VA | USA MANAGED CARE | 
| 1982029542 | Other | VA | TRICARE/CHAMPUS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 101.0134133 (Vermont) | Primary | 
| Entity Name | Evergreen Family Health Partners | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1588790562 PECOS PAC ID: 1153402888 Enrollment ID: O20080118000342  | 
| Entity Name | Integrated Wound Care Vermont Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053983726 PECOS PAC ID: 2668876368 Enrollment ID: O20210803001028  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jaime R Callaghan, DNP, FNP-BC Po Box 979, Williston, VT 05495-0979 Ph: (028) 878-8330  | Jaime R Callaghan, DNP, FNP-BC 205 Cornerstone Dr, Williston, VT 05495-4035 Ph: (802) 878-8330  | 
Ms. Shannon R Russom, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1600 Fax: 802-847-7184  | |
Ms. Rebecca Brooklyn, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4185 St George Rd, Williston, VT 05495 Phone: 802-922-2520 Fax: 802-879-5335  | |
Anastasiya Lulic, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 586 Oak Hill Rd, Williston, VT 05495 Phone: 802-878-8131  | |
Ms. Jena S Katzman, APRN, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 586 Oak Hill Rd, Williston, VT 05495 Phone: 802-878-8131 Fax: 802-879-6853  | |
Karyn Harvey Farevaag, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1470  | |
Karen Gibbs,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1470  | |
Hope Lindsay Denison, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28 Park Ave Ste 1a, Williston, VT 05495 Phone: 212-803-3339  |