| Stacey A Mckenna, AA | |
|
111 Colchester Ave, Burlington, VT 05401-1473 | |
| (802) 847-2415 | |
| (802) 847-5324 |
| Full Name | Stacey A Mckenna |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology Assistant |
| Experience | 21 Years |
| Location | 111 Colchester Ave, Burlington, 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 |
|---|---|---|---|
| 1639281272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 4646 (Georgia) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 135.0000038 (Vermont) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Univ. Of Vermont - Fletcher Allen Health Care | Burlington, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Vermont Medical Center Inc | 3779491071 | 1060 |
| 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 | University Of Vermont Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730123241 PECOS PAC ID: 3779491071 Enrollment ID: O20060822000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey A Mckenna, AA 111 Colchester Ave, Burlington, VT 05401-1473 Ph: (802) 847-2415 | Stacey A Mckenna, AA 111 Colchester Ave, Burlington, VT 05401-1473 Ph: (802) 847-2415 |
Mr. Matthew Peter Fazio, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave., Uvm Mc - Anesthesiology, Burlington, VT 05401 Phone: 802-847-2415 Fax: 802-847-5324 | |
Mr. Jay Benjamin Ginns, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-2415 | |
Aldijana Mekic, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000 | |
Paul R Dunn, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000 | |
Ms. Caroline V. Horn, AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 111 Colchester Ave., Uvm Medical Center, Dept. Of Anesthesiology, Burlington, VT 05401 Phone: 802-847-2415 Fax: 802-847-5324 | |
Kelsey Rafferty, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, West Pavilion, Level 2, Burlington, VT 05401 Phone: 802-847-2415 Fax: 802-847-5324 | |
Mr. Nathan Horn, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-2727 Fax: 802-847-4817 |