| Bradford Psychiatric Associates. Llc | |
|
199 Stratton Rd Ste 1 Rutland VT 05701-4892 | |
| (802) 775-7798 | |
| (802) 775-7762 |
| Full Name | Bradford Psychiatric Associates. Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 199 Stratton Rd Ste 1, Rutland, Vermont |
| Authorized Official Name and Position | Jennifer Lee Laughlin (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8027757798 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradford Psychiatric Associates. Llc 199 Stratton Rd Ste 1 Rutland VT 05701-4892 Ph: (802) 775-7798 | Bradford Psychiatric Associates. Llc 199 Stratton Rd Ste 1 Rutland VT 05701-4892 Ph: (802) 775-7798 |
| NPI Number | 1184747339 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/20/2023 |
| Medicare PECOS PAC ID | 9234411422 |
|---|---|
| Medicare Enrollment ID | O20170124000926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184747339 | NPI | - | NPPES |
| 1012105 | Medicaid | VT |
| Provider Name | Frederick Hesse |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1336215698 PECOS PAC ID: 2163446659 Enrollment ID: I20170206000294 |
| Provider Name | Craig Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871655209 PECOS PAC ID: 4486930591 Enrollment ID: I20170404000370 |
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