Dr Ann S Wittpenn, MD | |
353 Blair Park Rd, Williston, VT 05495-7530 | |
(802) 847-1440 | |
Not Available |
Full Name | Dr Ann S Wittpenn |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 353 Blair Park Rd, Williston, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215952890 | NPI | - | NPPES |
1005386 | Medicaid | VT | |
E01748232 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 42-0009238 (Vermont) | Primary |
Entity Name | University Of Vermont Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047 |
Mailing Address | Practice Location Address |
---|---|
Dr Ann S Wittpenn, MD 353 Blair Park Road, Williston, VT 05495 Ph: (802) 847-1440 | Dr Ann S Wittpenn, MD 353 Blair Park Rd, Williston, VT 05495-7530 Ph: (802) 847-1440 |
Michelle Tamara Shepard, M.D., PHD. Pediatrics Medicare: Medicare Enrolled Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1440 | |
Eliot W. Nelson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1440 Fax: 802-847-3014 | |
Pamela Lee Jackson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1440 Fax: 802-847-3014 |