| Mr Hendry Thompson Rodman Iii, PA-C | |
|
25 Ridgewood Rd, Springfield, VT 05156-3057 | |
| (207) 497-5614 | |
| Not Available |
| Full Name | Mr Hendry Thompson Rodman Iii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 25 Ridgewood Rd, Springfield, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932824711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA2433 (Maine) | Secondary |
| 363A00000X | Physician Assistant | 055.0031704 (Vermont) | Primary |
| 207Q00000X | Family Medicine | PA2433 (Maine) | Secondary |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1841397932 PECOS PAC ID: 7517860588 Enrollment ID: O20181105001181 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Hendry Thompson Rodman Iii, PA-C 70 Snare Creek Ln, Jonesport, ME 04649-3139 Ph: Not Available | Mr Hendry Thompson Rodman Iii, PA-C 25 Ridgewood Rd, Springfield, VT 05156-3057 Ph: (207) 497-5614 |
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 |
Kathryn Anne Macksoud, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 River St, Springfield, VT 05156 Phone: 802-886-8900 |