Michelle Tamara Shepard, MD, PHD | |
1 S Prospect St, Burlington, VT 05401-3456 | |
(802) 847-4696 | |
Not Available |
Full Name | Michelle Tamara Shepard |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1 S Prospect St, 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 |
---|---|---|---|
1194016956 | NPI | - | NPPES |
3098587 | Medicaid | NH | |
1023652 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 042-0012954 (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 |
---|---|
Michelle Tamara Shepard, MD, PHD 97 Sherman Dr, Nvrh St Johnsbury Pediatrics, St Johnsbury, VT 05819-9280 Ph: (802) 748-5131 | Michelle Tamara Shepard, MD, PHD 1 S Prospect St, Burlington, VT 05401-3456 Ph: (802) 847-4696 |
Dr. Kelly Curtis Blanchet, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-2345 | |
Dr. William Raszka, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-8200 Fax: 802-847-8742 | |
Dr. Valerie J. Riss, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave., C/o Uvm Medical Center, Children's/pedi-hospitalists, Burlington, VT 05401 Phone: 802-847-2700 | |
Dr. Nancy A Drucker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-8200 Fax: 802-847-8742 | |
Dr. Nilgun Tapucu Zimakas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 S Prospect St, Burlington, VT 05401 Phone: 802-847-4696 Fax: 902-847-4612 | |
Dr. Joseph Francis Hagan Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 128 Lakeside Ave, Suite 115, Burlington, VT 05401 Phone: 802-860-1928 | |
Elizabeth Schindler Perzanowski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 S Prospect St, Burlington, VT 05401 Phone: 802-847-4696 Fax: 802-847-4612 |