Jennifer Fauntleroy, M.d., P.c. | |
11 Court Sq Rutland VT 05701-4030 | |
(802) 775-1398 | |
(802) 775-5196 |
Full Name | Jennifer Fauntleroy, M.d., P.c. |
---|---|
Speciality | Psychiatry & Neurology |
Location | 11 Court Sq, Rutland, Vermont |
Authorized Official Name and Position | Jennifer Mary Fauntleroy (OWNER) |
Authorized Official Contact | 8027751398 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jennifer Fauntleroy, M.d., P.c. 11 Court Sq Rutland VT 05701-4030 Ph: (802) 775-1398 | Jennifer Fauntleroy, M.d., P.c. 11 Court Sq Rutland VT 05701-4030 Ph: (802) 775-1398 |
NPI Number | 1669498853 |
---|---|
Provider Enumeration Date | 07/14/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 0042231078 |
---|---|
Medicare Enrollment ID | O20051219000025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669498853 | NPI | - | NPPES |
0VN1669 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 042-0009568 (Vermont) | Primary |
Provider Name | Jennifer M Fauntleroy |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1669448981 PECOS PAC ID: 9234028705 Enrollment ID: I20051219000037 |
Neurology Micropractice, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 73 Center St, Rutland, VT 05701 Phone: 802-775-7778 Fax: 802-775-7775 | |
Forensic Consultation & Counseling Service, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 135 Granger St, Rutland, VT 05701 Phone: 802-772-0700 Fax: 802-771-8009 | |
Mclellan Psychotherapy Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Merchants Row, Rutland, VT 05701 Phone: 802-779-7346 | |
Psychotherapy Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Mahoney Ave, Rutland, VT 05701 Phone: 802-775-2581 Fax: 802-775-3395 | |
The Mentor Connector Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Merchants Row Ste 210, Rutland, VT 05701 Phone: 802-775-3434 | |
Rutland Mental Health Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 78 S Main St, Rutland, VT 05701 Phone: 802-775-2381 Fax: 802-747-7699 | |
Bradford Psychiatric Associates. Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 199 Stratton Rd Ste 1, Rutland, VT 05701 Phone: 802-775-7798 Fax: 802-775-7762 |