Morgan Ray Bazyk, | |
34 Bonnet St, Manchester Center, VT 05255-8920 | |
(802) 768-1718 | |
Not Available |
Full Name | Morgan Ray Bazyk |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 34 Bonnet St, Manchester Center, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710661715 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 101.0136271PROV (Vermont) | Primary |
Entity Name | Southwestern Vermont Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205865789 PECOS PAC ID: 0143138446 Enrollment ID: O20060929000045 |
Entity Name | Southwestern Vermont Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487930632 PECOS PAC ID: 0143138446 Enrollment ID: O20120412000770 |
Mailing Address | Practice Location Address |
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Morgan Ray Bazyk, 401 Canterbury Rd, Manchester Center, VT 05255-9463 Ph: (802) 688-3356 | Morgan Ray Bazyk, 34 Bonnet St, Manchester Center, VT 05255-8920 Ph: (802) 768-1718 |
William Goodwin, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5053 Main St, Manchester Center, VT 05255 Phone: 802-293-2929 Fax: 802-419-8311 | |
Ingrid Alicia Hohenforst, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4686 Main St, Manchester Center, VT 05255 Phone: 802-768-1699 | |
Mary Jaeger Stacy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5957 Main St, Northshire Medical Center, Manchester Center, VT 05255 Phone: 802-362-4440 Fax: 802-362-7146 |