Ms Martha Jean Coulter, MED is a
Psychologist based in Rutland, Vermont. Ms Martha Jean Coulter is licensed to practice in Vermont (license number 0470000386) and her current practice location is
128 Merchants Row, 6th Floor, Rutland, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 773-1411.
NPI number for Ms Martha Jean Coulter is 1629107156 and her current mailing address is 257 S. Main St., Rcsu, Rutland, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629107156.
Healthcare Provider's Profile
| Full Name | Ms Martha Jean Coulter |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 128 Merchants Row, Rutland, Vermont |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629107156
- Provider Enumeration Date: 03/02/2007
- Last Update Date: 11/14/2009
Medical Identifiers
Medical identifiers for Ms Martha Jean Coulter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629107156 | NPI | - | NPPES |
| 956673 | Other | VT | MVP |
| VF6352 | Other | NY | EMPIRE BC/BS |
| 1002138 | Medicaid | VT | |
| 062-2690 | Other | VT | BLUE CROSS AND BLUE SHLD |
| 120304000 | Other | VT | MAGELLAN HEALTH SERVICES |
| 2028356 | Other | VT | CIGNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 000194-1 (New York) | Secondary |
| 103T00000X | Psychologist | 0470000386 (Vermont) | Primary |
| 103TS0200X | Psychologist - School | (Vermont) | Secondary |
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. Ms Martha Jean Coulter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Martha Jean Coulter, MED
257 S. Main St., Rcsu,
Rutland, VT 05701
Ph: (802) 773-1411 | Ms Martha Jean Coulter, MED
128 Merchants Row, 6th Floor,
Rutland, VT 05701-5909
Ph: (802) 773-1411 |
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