| Kyle C Craven, | |
|
111 Colchester Ave, Burlington, VT 05401-1473 | |
| (802) 847-4044 | |
| Not Available |
| Full Name | Kyle C Craven |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 111 Colchester Ave, Burlington, Vermont |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760922454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA6052 (Massachusetts) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 055.0031409 (Vermont) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Vermont Medical Center | Burlington, VT | Hospital |
| Elizabethtown Community Hospital | Elizabethtown, NY | Hospital |
| Central Vermont Medical Center | Berlin, VT | Hospital |
| The University Of Vermont Health Network - Champl | Plattsburgh, NY | Hospital |
| Porter Hospital Inc | Middlebury, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Vermont Medical Center Inc | 3779491071 | 1208 |
| Entity Name | University of Vermont Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle C Craven, 45 Yerxa Rd Unit 102, Cambridge, MA 02140-2528 Ph: (508) 439-2539 | Kyle C Craven, 111 Colchester Ave, Burlington, VT 05401-1473 Ph: (802) 847-4044 |
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 |