| Dr. Shellie Burdick Llc | |
|
10 Bank St North Bennington VT 05257-9101 | |
| (802) 732-3010 | |
| (802) 732-3010 |
| Full Name | Dr. Shellie Burdick Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 Bank St, North Bennington, Vermont |
| Authorized Official Name and Position | Shellie Burdick (OWNER) |
| Authorized Official Contact | 8027323010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Shellie Burdick Llc Po Box 11 North Bennington VT 05257-0011 Ph: (802) 732-3010 | Dr. Shellie Burdick Llc 10 Bank St North Bennington VT 05257-9101 Ph: (802) 732-3010 |
| NPI Number | 1376226175 |
|---|---|
| Provider Enumeration Date | 08/08/2023 |
| Last Update Date | 08/08/2023 |
| Medicare PECOS PAC ID | 8123482957 |
|---|---|
| Medicare Enrollment ID | O20230913000951 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376226175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Shellie Burdick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376839332 PECOS PAC ID: 2860714854 Enrollment ID: I20210706003327 |
| Provider Name | Charisma Ann Temprosa Lanez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942637988 PECOS PAC ID: 5597985176 Enrollment ID: I20250403001184 |
Avery Wood Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Bank Street, North Bennington, VT 05257 Phone: 888-421-6801 Fax: 888-421-6801 |