| Mr Grigorios Delaportas, PA | |
|
192 Tilley Dr, South Burlington, VT 05403-4440 | |
| (802) 847-7063 | |
| Not Available |
| Full Name | Mr Grigorios Delaportas |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 192 Tilley Dr, South 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 |
|---|---|---|---|
| 1023389418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Vermont Medical Center | Burlington, VT | Hospital |
| Northwestern Medical Center Inc | Saint albans, 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 |
|---|---|
| Mr Grigorios Delaportas, PA 425 Hillwood Dr, Birmingham, AL 35209-5345 Ph: (813) 431-2600 | Mr Grigorios Delaportas, PA 192 Tilley Dr, South Burlington, VT 05403-4440 Ph: (802) 847-7063 |
Kellie Michele Malaney, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1775 Williston Rd Ste 220, South Burlington, VT 05403 Phone: 802-861-0200 Fax: 802-861-0210 |
Mr. Robert E Hemond, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 192 Tilley Dr, South Burlington, VT 05403 Phone: 802-847-9005 |
Wendy April Shedd, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 372 Dorset St, South Burlington, VT 05403 Phone: 802-660-8808 Fax: 802-660-4310 |
Ms. Brittany Owens Bryan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 192 Tilley Dr, South Burlington, VT 05403 Phone: 802-847-2663 |
Courtneyanne Randall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 150 Kennedy Dr, South Burlington, VT 05403 Phone: 802-448-9370 Fax: 802-448-1414 |
Lauren Brogna Richard, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 192 Tilley Drive, Uvm Medical Center - Orthopedics, South Burlington, VT 05403 Phone: 802-847-7063 |
Suzanne Decapua, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 192 Tilley Dr, Uvm Medical Center - Orthopedics, South Burlington, VT 05403 Phone: 802-847-2663 Fax: 802-847-7470 |