Jessica S Racusin, MD | |
115 Porter Dr, Porter Hospital, Middlebury, VT 05753 | |
(802) 388-4001 | |
(802) 388-5612 |
Full Name | Jessica S Racusin |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 115 Porter Dr, Middlebury, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821192089 | NPI | - | NPPES |
68063 | Other | VT | BCBS |
1010640 | Medicaid | VT | |
4127323 | Other | VT | MVP VT MGD CARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0420010785 (Vermont) | Primary |
Entity Name | Porter Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134457013 PECOS PAC ID: 1850365180 Enrollment ID: O20050919000862 |
Mailing Address | Practice Location Address |
---|---|
Jessica S Racusin, MD 115 Porter Dr, 40 Susan Spitzner Finance Dept, Middlebury, VT 05753 Ph: (802) 388-5607 | Jessica S Racusin, MD 115 Porter Dr, Porter Hospital, Middlebury, VT 05753 Ph: (802) 388-4001 |
Jessica H Wagener, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 Phone: 802-388-4001 Fax: 802-388-5612 | |
Robert D Pitts, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 115 Porter Dr, Porter Hospital, Middlebury, VT 05753 Phone: 802-388-4001 Fax: 802-388-5612 | |
Amanda S. Young, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 115 Porter Drive, Middlebury, VT 05753 Phone: 802-388-5607 Fax: 802-388-5654 | |
Glen R Lovejoy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 Phone: 802-388-4001 Fax: 802-388-5612 | |
William J Nowlan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 Phone: 802-388-4001 Fax: 802-388-5612 | |
Fred W Kniffin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 Phone: 802-388-4001 Fax: 802-388-5612 | |
Robert Rene Gosselin, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6a Maple St, Middlebury, VT 05753 Phone: 724-991-3254 |