| Blue Spruce Health Pllc | |
|
401 E Main St Newport VT 05855-5890 | |
| (802) 500-6923 | |
| Not Available |
| Full Name | Blue Spruce Health Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 401 E Main St, Newport, Vermont |
| Authorized Official Name and Position | Mohammad Umair Malik (CEO/OWNER) |
| Authorized Official Contact | 8025006923 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Spruce Health Pllc 401 E Main St Newport VT 05855-5890 Ph: (802) 500-6923 | Blue Spruce Health Pllc 401 E Main St Newport VT 05855-5890 Ph: (802) 500-6923 |
| NPI Number | 1255053211 |
|---|---|
| Provider Enumeration Date | 09/16/2022 |
| Last Update Date | 07/16/2024 |
| Medicare PECOS PAC ID | 9133560550 |
|---|---|
| Medicare Enrollment ID | O20240515003334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255053211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert S Hawkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326088980 PECOS PAC ID: 5294739942 Enrollment ID: I20120621000368 |
| Provider Name | Johannah Marie Cacio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659914836 PECOS PAC ID: 3375998776 Enrollment ID: I20240515003439 |
Northern Counties Health Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 137 Main St Ste 102, Newport, VT 05855 Phone: 802-995-2412 | |
Mdf Geriatric Healthcare Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 46 Lakemont Rd, Newport, VT 05855 Phone: 802-673-4916 | |
Denise A. Niemira, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5452 Us Route 5, Ste. D, Newport, VT 05855 Phone: 802-334-6140 Fax: 802-334-8271 | |
North Country Hospital & Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 81 Medical Village Dr Ste 2, Newport, VT 05855 Phone: 802-334-4110 Fax: 802-334-3281 | |
Northeast Vision Center, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5452 Us Route 5, Ste H, Newport, VT 05855 Phone: 802-334-1515 Fax: 802-334-2935 | |
Thomas Ae Moseley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Medical Village Drive, Newport, VT 05855 Phone: 802-334-6929 Fax: 802-784-1051 |