Roya Mansoorani, MD | |
11 Crest Rd, Saint Albans, VT 05478-9701 | |
(802) 527-8189 | |
(802) 527-8187 |
Full Name | Roya Mansoorani |
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Gender | Female |
Speciality | Pediatrics |
Location | 11 Crest Rd, Saint Albans, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073641890 | NPI | - | NPPES |
38096 | Other | VT | BLUE CROSS BLUE SHIELD |
1006271 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 0420009551 (Vermont) | Secondary |
208000000X | Pediatrics | 042-0009551 (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 |
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Roya Mansoorani, MD 600 Blair Park Rd Ste 285, Williston, VT 05495-7586 Ph: (802) 288-1140 | Roya Mansoorani, MD 11 Crest Rd, Saint Albans, VT 05478-9701 Ph: (802) 527-8189 |
Robert Harry Tyson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Crest Rd, Saint Albans, VT 05478 Phone: 802-527-8189 Fax: 802-527-8187 | |
Frederick C Holmes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11 Crest Rd, Saint Albans, VT 05478 Phone: 802-527-8189 Fax: 802-527-8187 | |
Heidi Zvolensky, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Crest Rd, Saint Albans, VT 05478 Phone: 802-527-8189 Fax: 802-527-8187 | |
Dr. Laura Ann Bellstrom, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Crest Rd, Saint Albans, VT 05478 Phone: 802-527-8189 Fax: 802-527-8187 | |
Emanuele Q Chiappinelli, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Crest Rd, Saint Albans, VT 05478 Phone: 802-527-8189 Fax: 802-527-8187 |