| Mrs Lesley Rae Larsen, NMW | |
|
81 Medical Village Dr, Suite 2, Newport, VT 05855-9835 | |
| (802) 334-4110 | |
| (802) 334-4113 |
| Full Name | Mrs Lesley Rae Larsen |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 23 Years |
| Location | 81 Medical Village Dr, Newport, 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 |
|---|---|---|---|
| 1649357385 | NPI | - | NPPES |
| 78119 | Other | VT | MVP |
| 00068564 | Other | VT | BLUE SHIELD OF VERMONT |
| 8000748 | Other | VT | LADIES FIRST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 1010030803 (Vermont) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Country Hospital And Health Center | Newport, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Country Hospital And Health Center Inc | 9739073479 | 50 |
| Entity Name | North Country Hospital & Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144251059 PECOS PAC ID: 9739073479 Enrollment ID: O20041104000642 |
| Entity Name | North Country Hospital & Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295868008 PECOS PAC ID: 9739073479 Enrollment ID: O20050616000330 |
| Entity Name | North Country Hospital & Health Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1144251059 PECOS PAC ID: 9739073479 Enrollment ID: O20070219000676 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lesley Rae Larsen, NMW 81 Medical Village Dr, Suite 2, Newport, VT 05855-9835 Ph: (802) 334-4110 | Mrs Lesley Rae Larsen, NMW 81 Medical Village Dr, Suite 2, Newport, VT 05855-9835 Ph: (802) 334-4110 |
Katherine J. Plummer, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 79 Coventry St, Newport, VT 05855 Phone: 802-334-5822 Fax: 802-334-5812 |