Susan P Shane, MD | |
1 South Prospect Street, Fahc Family Medicine, Arnold 4, Burlington, VT 05401 | |
(802) 847-4237 | |
Not Available |
Full Name | Susan P Shane |
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Gender | Female |
Speciality | Family Medicine |
Location | 1 South Prospect Street, 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 |
---|---|---|---|
1811959927 | NPI | - | NPPES |
0009335 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 042-0007826 (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 |
---|---|
Susan P Shane, MD Po Box 1150, Burlington, VT 05402-1150 Ph: (802) 847-8161 | Susan P Shane, MD 1 South Prospect Street, Fahc Family Medicine, Arnold 4, Burlington, VT 05401 Ph: (802) 847-4237 |
Dr. Adam Greenlee, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309 Fax: 802-860-4313 | |
Dr. Patricia L Fisher, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309 Fax: 802-860-4324 | |
Robert E Gramling, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Uvm Medical Center - Palliative Care Services, Burlington, VT 05401 Phone: 802-847-4848 Fax: 802-847-2929 | |
Dr. Jon Kevin Porter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 425 Pearl St, Burlington, VT 05401 Phone: 802-656-3350 Fax: 802-656-8178 | |
Robert A Penney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 789 Pine St, Burlington, VT 05401 Phone: 802-864-0693 Fax: 802-860-6613 | |
David A Reisman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000 | |
Dr. Alyssa Lynne Tonks, DNP, RN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1205 North Ave Ste 2, Burlington, VT 05408 Phone: 802-863-1313 Fax: 802-863-2396 |