Dr Leah Mclane Costello, MD | |
51 Timber Ln, South Burlington, VT 05403-5201 | |
(802) 864-0521 | |
(802) 864-6475 |
Full Name | Dr Leah Mclane Costello |
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Gender | Female |
Speciality | Pediatrics |
Location | 51 Timber Ln, South Burlington, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326292269 | NPI | - | NPPES |
1026302 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 042.0012834 (Vermont) | Primary |
208000000X | Pediatrics | 7148432-1205 (Utah) | Secondary |
Entity Name | Primary Care Health Partners - Vermont Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285687616 PECOS PAC ID: 7810896032 Enrollment ID: O20040205000572 |
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 |
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Dr Leah Mclane Costello, MD 600 Blair Park Rd Ste 285, Williston, VT 05495-7586 Ph: (802) 288-1140 | Dr Leah Mclane Costello, MD 51 Timber Ln, South Burlington, VT 05403-5201 Ph: (802) 864-0521 |
Barbara C Kennedy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 51 Timber Ln, South Burlington, VT 05403 Phone: 802-864-0521 Fax: 802-864-6475 | |
Dr. Debra Shuma Hartswick, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 52 Timberlane, South Burlington, VT 05403 Phone: 802-658-2320 Fax: 802-863-6933 | |
Monica C Fiorenza, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 51 Timber Ln, South Burlington, VT 05403 Phone: 802-864-0521 Fax: 802-864-6475 | |
John J Murray, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 51 Timber Ln, South Burlington, VT 05403 Phone: 802-864-0521 Fax: 802-864-6475 | |
Dr. Elizabeth Ann Hunt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 51 Timber Ln, South Burlington, VT 05403 Phone: 802-864-0521 Fax: 802-864-6475 | |
Lisa Denise Burns, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 37 Brewer Pkwy, South Burlington, VT 05403 Phone: 802-658-4171 |