| All Brains Belong Vt Inc | |
|
138 Main St Ste 4 Montpelier VT 05602-2984 | |
| (802) 234-1098 | |
| Not Available |
| Full Name | All Brains Belong Vt Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 138 Main St Ste 4, Montpelier, Vermont |
| Authorized Official Name and Position | Melissa Houser (OWNER/PROVIDER) |
| Authorized Official Contact | 3216639590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| All Brains Belong Vt Inc 75 College St Montpelier VT 05602-3110 Ph: (646) 957-4836 | All Brains Belong Vt Inc 138 Main St Ste 4 Montpelier VT 05602-2984 Ph: (802) 234-1098 |
| NPI Number | 1861168718 |
|---|---|
| Provider Enumeration Date | 08/20/2021 |
| Last Update Date | 07/26/2022 |
| Medicare PECOS PAC ID | 9133526387 |
|---|---|
| Medicare Enrollment ID | O20210930001879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861168718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Melissa M Houser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518222736 PECOS PAC ID: 7810134665 Enrollment ID: I20160726002401 |
| Provider Name | Sierra Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669136610 PECOS PAC ID: 1456741180 Enrollment ID: I20211210001988 |
| Provider Name | Gabrielle Worzella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083054050 PECOS PAC ID: 4587807391 Enrollment ID: I20230208002605 |
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