Robert Vaillancourt, MA is a medicare enrolled "Psychologist" provider in Bethel, Vermont. His current practice location is
768 S Main St, Bethel, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 234-5691.
Robert Vaillancourt is licensed to practice in Vermont (license number 0470000611) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205864527.
Healthcare Provider's Profile
| Full Name | Robert Vaillancourt |
|---|
| Gender | Male |
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| Speciality | Psychologist |
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| Location | 768 S Main St, Bethel, Vermont |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205864527
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 12/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 1456357961
- Enrollment ID: I20061227000222
Medical Identifiers
Medical identifiers for Robert Vaillancourt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205864527 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103T00000X | Psychologist | 0470000611 (Vermont) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Vaillancourt is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Robert Vaillancourt, MA Po Box 263, Bethel, VT 05032-0263 Ph: (802) 234-5691 | Robert Vaillancourt, MA 768 S Main St, Bethel, VT 05032-4472 Ph: (802) 234-5691 |
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