| Mr William L Hogan, MS, PT | |
|
235lakemont Rd, Newport, VT 05855-9690 | |
| (802) 334-8558 | |
| (802) 334-8559 |
| Full Name | Mr William L Hogan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 235lakemont Rd, Newport, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861427411 | NPI | - | NPPES |
| 59062 | Other | VT | BCBS |
| 1009056 | Medicaid | VT | |
| 109055 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 0400003435 (Vermont) | Primary |
| Provider Name | Northeast Kingdom Physical Therapy, Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1417175761 PECOS PAC ID: 1759324023 Enrollment ID: O20050607001178 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William L Hogan, MS, PT 235lakemont Rd, Newport, VT 05855-9590 Ph: (802) 334-8558 | Mr William L Hogan, MS, PT 235lakemont Rd, Newport, VT 05855-9690 Ph: (802) 334-8558 |
Gwenyth Gage, PT, DPT, ATC Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 417 Vt Route 105, Newport, VT 05855 Phone: 802-334-2400 | |
Freedom Physical Therapy, P.c Physical Therapist Medicare: Medicare Enrolled Practice Location: 419a Vt Rt 105, Suite B, Newport, VT 05855 Phone: 802-766-4799 | |
Mr. Seth L Starr, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 417 Vt Route 105, Newport, VT 05855 Phone: 802-334-2400 | |
Sarah Hardin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 81 Medical Village Dr, Suite 3, Newport, VT 05855 Phone: 802-334-3260 Fax: 802-334-4162 | |
Lysanne Ouimet, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 81 Medical Village Dr, Suite 3, Newport, VT 05855 Phone: 802-334-3260 | |
Ms. Morgan Provost, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Lakemont Rd, Newport, VT 05855 Phone: 802-334-8558 Fax: 802-334-8559 | |
Corey Leblanc, PA-C Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2559 Glen Rd, Newport, VT 05855 Phone: 802-334-3364 |