| Nathaniel P Moore, PA | |
|
111 Colchester Ave., Uvm Medical Center - Surgery/emergency Dept., Burlington, VT 05401-1473 | |
| (802) 847-2434 | |
| (802) 847-4802 |
| Full Name | Nathaniel P Moore |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 111 Colchester Ave., Burlington, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124406178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 055.0031256 (Vermont) | Primary |
| 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 |
| Entity Name | Porter Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134457013 PECOS PAC ID: 1850365180 Enrollment ID: O20050919000862 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathaniel P Moore, PA 111 Colchester Ave., Uvm Medical Center - Surgery/emergency Dept., Burlington, VT 05401-1473 Ph: (802) 847-2434 | Nathaniel P Moore, PA 111 Colchester Ave., Uvm Medical Center - Surgery/emergency Dept., Burlington, VT 05401-1473 Ph: (802) 847-2434 |
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 |