| Lia B Braico, FNP-BC | |
|
5957 Main St, Manchester Center, VT 05255-8913 | |
| (802) 362-4440 | |
| Not Available |
| Full Name | Lia B Braico |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 5957 Main St, Manchester Center, 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 |
|---|---|---|---|
| 1336692722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F340676 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 026.0152150 (Vermont) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southwestern Vermont Medical Center | Bennington, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwestern Vermont Medical Center Inc | 0143138446 | 160 |
| Entity Name | Southwestern Vermont Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184994162 PECOS PAC ID: 0143138446 Enrollment ID: O20120613000217 |
| Entity Name | Manchester Medical Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730682766 PECOS PAC ID: 2365859295 Enrollment ID: O20211208000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Lia B Braico, FNP-BC 5957 Main St, Manchester Center, VT 05255-8913 Ph: (802) 362-4440 | Lia B Braico, FNP-BC 5957 Main St, Manchester Center, VT 05255-8913 Ph: (802) 362-4440 |
William Goodwin, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5053 Main St, Manchester Center, VT 05255 Phone: 802-293-2929 Fax: 802-419-8311 | |
Morgan Ray Bazyk, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 34 Bonnet St, Manchester Center, VT 05255 Phone: 802-768-1718 | |
Mary Jaeger Stacy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5957 Main St, Northshire Medical Center, Manchester Center, VT 05255 Phone: 802-362-4440 Fax: 802-362-7146 |