| Champlain Medical Associates Pllc | |
|
150 Kennedy Dr S Burlington VT 05403-6749 | |
| (802) 448-9370 | |
| (802) 448-1414 |
| Full Name | Champlain Medical Associates Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 150 Kennedy Dr, S Burlington, Vermont |
| Authorized Official Name and Position | Beth Schiller (PARTNER) |
| Authorized Official Contact | 5189634355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Champlain Medical Associates Pllc 150 Kennedy Dr S Burlington VT 05403-6749 Ph: () - | Champlain Medical Associates Pllc 150 Kennedy Dr S Burlington VT 05403-6749 Ph: (802) 448-9370 |
| NPI Number | 1013273697 |
|---|---|
| Provider Enumeration Date | 04/08/2012 |
| Last Update Date | 01/31/2014 |
| Medicare PECOS PAC ID | 4981868247 |
|---|---|
| Medicare Enrollment ID | O20120618000283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013273697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Beth Schiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396141966 PECOS PAC ID: 6709040066 Enrollment ID: I20150427001444 |
| Provider Name | Spencer Blackman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205914884 PECOS PAC ID: 2567483282 Enrollment ID: I20151203002100 |