Kristen Van Woert Connolly, MD | |
11 Haydenberry Dr Ste 41, Milton, VT 05468-3848 | |
(802) 893-1200 | |
(802) 893-2756 |
Full Name | Kristen Van Woert Connolly |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 11 Haydenberry Dr Ste 41, Milton, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588989016 | NPI | - | NPPES |
1021912 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 042.0012649 (Vermont) | Primary |
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 |
Mailing Address | Practice Location Address |
---|---|
Kristen Van Woert Connolly, MD 600 Blair Park Rd Ste 285, Williston, VT 05495-7586 Ph: (802) 288-1140 | Kristen Van Woert Connolly, MD 11 Haydenberry Dr Ste 41, Milton, VT 05468-3848 Ph: (802) 893-1200 |
Whitney Jeanne Washburn Sevey, Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Haydenberry Dr Unit 103, Milton, VT 05468 Phone: 802-893-1200 Fax: 802-893-2756 | |
Joseph D Nasca, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 789b Ethan Allen Hwy, Milton, VT 05468 Phone: 802-527-2237 Fax: 802-527-2267 | |
Dr. Thomas G Bolduc, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11 Haydenberry Dr Unit 103, Milton, VT 05468 Phone: 802-893-1200 | |
Mr. Scott Jason Cohen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Haydenberry Dr Unit 103, Milton, VT 05468 Phone: 802-893-1200 Fax: 802-893-2756 | |
Dr. Michael Edward Visker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 927 Ethan Allen Hwy Unit 1, Milton, VT 05468 Phone: 802-527-2237 |