| Kathryn Anne Macksoud, | |
|
100 River St, Springfield, VT 05156-2930 | |
| (802) 886-8900 | |
| Not Available |
| Full Name | Kathryn Anne Macksoud |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 100 River St, Springfield, 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 |
|---|---|---|---|
| 1194486357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 055.0031598 (Vermont) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bayada Home Health Care, Inc. | Rutland, VT | Home health agency |
| Vna And Hospice Of Vermont And New Hampshire | White river junction, VT | Home health agency |
| Springfield Hospital | Springfield, VT | Hospital |
| Mt Ascutney Hospital | Windsor, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Springfield Medical Care Systems Inc. | 9133157043 | 52 |
| Entity Name | Springfield Medical Care Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730336843 PECOS PAC ID: 9133157043 Enrollment ID: O20090622000521 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Anne Macksoud, 24 Airport Rd, West Lebanon, NH 03784 Ph: Not Available | Kathryn Anne Macksoud, 100 River St, Springfield, VT 05156-2930 Ph: (802) 886-8900 |
Samuel M. Kippenberger, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25 Ridgewood Rd, Esne/springfield Hospital Emergency Department, Springfield, VT 05156 Phone: 802-885-7540 |
Eric K Jacobson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 390 River Street, Springfield, VT 05156 Phone: 802-886-4500 Fax: 802-886-4560 |
Mr. Warren M Fenner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25 Ridgewood Rd, Emergency Department, Springfield, VT 05156 Phone: 802-885-2151 |
Ruth Fingerhut Cody, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 368 River St, Springfield, VT 05156 Phone: 802-886-2526 Fax: 802-886-2225 |
Timothy J Mello, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 29 Ridgewood Rd, Springfield, VT 05156 Phone: 802-885-6373 Fax: 802-885-6376 |
Brittany Gubinski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 River St, Springfield, VT 05156 Phone: 802-886-8900 |
Liam Patrick Ogrady, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25 Ridgewood Rd, Springfield, VT 05156 Phone: 802-885-2151 |