Abigail Provost, | |
4 Slapp Hl, Hardwick, VT 05843-9300 | |
(802) 472-3300 | |
Not Available |
Full Name | Abigail Provost |
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Gender | Female |
Speciality | Family Medicine |
Location | 4 Slapp Hl, Hardwick, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679268015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 101.0136095PROV (Vermont) | Primary |
Entity Name | Northern Counties Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649236225 PECOS PAC ID: 2860300936 Enrollment ID: O20041203000125 |
Mailing Address | Practice Location Address |
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Abigail Provost, 340 Wallace Rd, Derby, VT 05829-9491 Ph: (802) 274-1162 | Abigail Provost, 4 Slapp Hl, Hardwick, VT 05843-9300 Ph: (802) 472-3300 |
Sarah E Morgan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Slapp Hill Road, Hardwick, VT 05843 Phone: 802-472-3300 Fax: 802-472-8277 | |
Peter M Sher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 S Main St, Ste 6, Hardwick, VT 05843 Phone: 973-580-0426 | |
Dr. Mckalyn Garrity Leclerc, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Slapp Hill Road, Hardwick, VT 05843 Phone: 802-472-3300 Fax: 802-472-8277 | |
Chloe Tartaglia, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Slapp Hl, Hardwick, VT 05843 Phone: 802-472-3300 Fax: 802-472-8277 |