| Spencer Ciancola, | |
|
140 Hospital Dr Ste 111, Bennington, VT 05201-5010 | |
| (802) 440-4077 | |
| Not Available |
| Full Name | Spencer Ciancola |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 140 Hospital Dr Ste 111, Bennington, 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 |
|---|---|---|---|
| 1285295154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 055.0031452 (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 | 174 |
| Entity Name | Southwestern Vermont Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205865789 PECOS PAC ID: 0143138446 Enrollment ID: O20060929000045 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Ciancola, 100 Hospital Dr, Bennington, VT 05201-5004 Ph: Not Available | Spencer Ciancola, 140 Hospital Dr Ste 111, Bennington, VT 05201-5010 Ph: (802) 440-4077 |
Dean D Measeck, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 332 Dewey St, Bennington, VT 05201 Phone: 802-442-6314 Fax: 802-447-1686 |
Karena Webber, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 140 Hospital Dr, Suite 111, Bennington, VT 05201 Phone: 802-440-4077 |
Emily D'amario, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Bennington, VT 05201 Phone: 802-442-6361 |
Clarence Paul Graether, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 655 Main St, Bennington, VT 05201 Phone: 802-258-3905 Fax: 802-258-4903 |
Mrs. Crystal Labbe-hasty, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 140 Hospital Dr, Suite 111, Bennington, VT 05201 Phone: 719-362-7244 |
Martha Madhu Cornwell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 357 Shields Dr, Bennington, VT 05201 Phone: 802-447-1409 Fax: 802-442-5199 |
Katie Lynn Wysocki, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 140 Hospital Dr Ste 108, Bennington, VT 05201 Phone: 802-447-5519 |