| Integrated Wound Care Vermont Pllc | |
|
100 N Main St Ste 2 Barre VT 05641-4150 | |
| (718) 705-6010 | |
| Not Available |
| Full Name | Integrated Wound Care Vermont Pllc |
|---|---|
| Speciality | General Practice |
| Location | 100 N Main St Ste 2, Barre, Vermont |
| Authorized Official Name and Position | Diane Lusas (MEMBER) |
| Authorized Official Contact | 7187056010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Wound Care Vermont Pllc 492c Cedar Ln Ste 514 Teaneck NJ 07666-1713 Ph: (718) 705-6010 | Integrated Wound Care Vermont Pllc 100 N Main St Ste 2 Barre VT 05641-4150 Ph: (718) 705-6010 |
| NPI Number | 1053983726 |
|---|---|
| Provider Enumeration Date | 07/13/2021 |
| Last Update Date | 07/13/2021 |
| Medicare PECOS PAC ID | 2668876368 |
|---|---|
| Medicare Enrollment ID | O20210803001028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053983726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Tara Blue Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417277500 PECOS PAC ID: 5193859056 Enrollment ID: I20121211000450 |
| Provider Name | Jamie Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790293777 PECOS PAC ID: 0749542827 Enrollment ID: I20180419002882 |
| Provider Name | Stefanie A Mcgowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326485954 PECOS PAC ID: 2062737158 Enrollment ID: I20190208001373 |
| Provider Name | Jaime Callaghan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982029542 PECOS PAC ID: 6709009855 Enrollment ID: I20200313000953 |
| Provider Name | Pamela Alice Duchene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750495917 PECOS PAC ID: 5890798482 Enrollment ID: I20200602002131 |
| Provider Name | Diane Lusas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730475658 PECOS PAC ID: 9032430640 Enrollment ID: I20210804003560 |
| Provider Name | Cheyenne K Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134703879 PECOS PAC ID: 9537563093 Enrollment ID: I20210804003799 |
| Provider Name | Amy Melna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083210272 PECOS PAC ID: 4688080377 Enrollment ID: I20220105002107 |
Blue Collar Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 34 Willey St, Barre, VT 05641 Phone: 802-272-9470 | |
Gifford Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2418 Airport Rd Ste 1, Barre, VT 05641 Phone: 802-229-2325 Fax: 802-229-4572 | |
Workit Health Mi Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 N Main St Ste 2, Barre, VT 05641 Phone: 734-373-0849 | |
Mark Yorra Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Keith Ave, Barre, VT 05641 Phone: 802-479-2546 | |
People's Health & Wellness Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 553 N Main St, Barre, VT 05641 Phone: 802-479-1229 |