| Visavis Health Care Medical Group Of Vt Pllc | |
|
105 Chester Rd Springfield VT 05156-2106 | |
| (877) 210-2373 | |
| Not Available |
| Full Name | Visavis Health Care Medical Group Of Vt Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 105 Chester Rd, Springfield, Vermont |
| Authorized Official Name and Position | Irina Yuffa (VP PATIENT CARE SERVICES AND SUCCES) |
| Authorized Official Contact | 9735641057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visavis Health Care Medical Group Of Vt Pllc 1481 Mcdonald Ave Brooklyn NY 11230-4667 Ph: () - | Visavis Health Care Medical Group Of Vt Pllc 105 Chester Rd Springfield VT 05156-2106 Ph: (877) 210-2373 |
| NPI Number | 1497566780 |
|---|---|
| Provider Enumeration Date | 01/15/2025 |
| Last Update Date | 01/15/2025 |
| Medicare PECOS PAC ID | 4082144910 |
|---|---|
| Medicare Enrollment ID | O20250207001252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497566780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ramon Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588211627 PECOS PAC ID: 2860829355 Enrollment ID: I20240329002045 |
| Provider Name | Julia Didesiderio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548717192 PECOS PAC ID: 9537441993 Enrollment ID: I20240827001281 |
| Provider Name | Jessica Fichter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447643986 PECOS PAC ID: 5698087732 Enrollment ID: I20241121002868 |
| Provider Name | Georgianne Beth Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447736277 PECOS PAC ID: 5890026215 Enrollment ID: I20241220000330 |
| Provider Name | Tiffany M Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659819944 PECOS PAC ID: 0941578058 Enrollment ID: I20250123000309 |
| Provider Name | Jennifer Cavage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245209824 PECOS PAC ID: 1850369638 Enrollment ID: I20250225003524 |
| Provider Name | Rebekka Lindamood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447912134 PECOS PAC ID: 3173919529 Enrollment ID: I20250306000494 |
| Provider Name | Renee Conn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043824451 PECOS PAC ID: 4284044553 Enrollment ID: I20250312000722 |
| Provider Name | Derek Harpole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235771874 PECOS PAC ID: 3779914965 Enrollment ID: I20250312001211 |
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