Ethan W Gilson, | |
476 Main St, Winooski, VT 05404-1300 | |
(802) 363-1602 | |
Not Available |
Full Name | Ethan W Gilson |
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Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 476 Main St, Winooski, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1104374826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YA0400X | Counselor - Addiction (substance Use Disorder) | 000728 (Vermont) | Primary |
Entity Name | The Richford Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803297 PECOS PAC ID: 7012825631 Enrollment ID: O20040313000183 |
Mailing Address | Practice Location Address |
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Ethan W Gilson, Po Box 102, Winooski, VT 05404-0102 Ph: (802) 363-1602 | Ethan W Gilson, 476 Main St, Winooski, VT 05404-1300 Ph: (802) 363-1602 |
Josephine M Corcoran, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 W Canal St, Suite C/2, Winooski, VT 05404 Phone: 802-654-7600 Fax: 802-654-7601 | |
Mr. David Gauthier, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 432 Main St, Winooski, VT 05404 Phone: 802-655-3311 | |
Miss Diana Buchanan, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 486 Main St, Winooski, VT 05404 Phone: 802-865-3450 | |
Ms. Katherine Hudspeth Maynard, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 W Canal St, Suite C2, Winooski, VT 05404 Phone: 802-654-7600 Fax: 802-654-7601 | |
Mr. Matthew Bijur, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 W Canal St, Winooski, VT 05404 Phone: 802-598-1060 Fax: 802-425-5435 | |
William Myregaard, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 W Canal St Ste C11, Winooski, VT 05404 Phone: 802-343-1158 Fax: 802-654-8821 |