Ms Shannon R Russom, NP | |
353 Blair Park Rd, Williston, VT 05495-7530 | |
(802) 847-1600 | |
(802) 847-7184 |
Full Name | Ms Shannon R Russom |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 25 Years |
Location | 353 Blair Park Rd, Williston, Vermont |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013948850 | NPI | - | NPPES |
1008958 | Medicaid | VT | |
150268 | Other | VT | MVP |
58796 | Other | VT | BLUE SHIELD |
6309101 | Other | VT | APEX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1010017858 (Vermont) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Univ. Of Vermont - Fletcher Allen Health Care | Burlington, VT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Vermont Medical Center Inc | 3779491071 | 970 |
Entity Name | University Of Vermont Medical Center Inc |
---|---|
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 |
---|---|
Ms Shannon R Russom, NP 87 Carse Rd, Huntington, VT 05462-9550 Ph: (802) 434-4195 | Ms Shannon R Russom, NP 353 Blair Park Rd, Williston, VT 05495-7530 Ph: (802) 847-1600 |
Ms. Rebecca Brooklyn, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4185 St George Rd, Williston, VT 05495 Phone: 802-922-2520 Fax: 802-879-5335 | |
Amy Denis, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 586 Oak Hill Rd, Williston, VT 05495 Phone: 802-878-8131 | |
Anastasiya Lulic, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 586 Oak Hill Rd, Williston, VT 05495 Phone: 802-878-8131 | |
Ms. Jena S Katzman, APRN, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 586 Oak Hill Rd, Williston, VT 05495 Phone: 802-878-8131 Fax: 802-879-6853 | |
Karyn Harvey Farevaag, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1470 | |
Jessica Jawidzik, APRN, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4185 St George Rd, Williston, VT 05495 Phone: 802-266-4465 Fax: 802-531-3226 |