Alice D Goodrich, MSPT | |
21 Carmichael St, Suite 101, Essex Junction, VT 05452-3186 | |
(941) 928-7536 | |
Not Available |
Full Name | Alice D Goodrich |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 31 Years |
Location | 21 Carmichael St, Essex Junction, 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 |
---|---|---|---|
1871705277 | NPI | - | NPPES |
1017791 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 040-0003688 (Vermont) | Primary |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | FL20006 (Florida) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tiffany Renaud, Inc. | 8022279074 | 8 |
Provider Name | Tiffany Renaud, Inc. |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1912270075 PECOS PAC ID: 8022279074 Enrollment ID: O20120705000359 |
Mailing Address | Practice Location Address |
---|---|
Alice D Goodrich, MSPT 27 Clements Rd, Milton, VT 05468-3317 Ph: (941) 928-7536 | Alice D Goodrich, MSPT 21 Carmichael St, Suite 101, Essex Junction, VT 05452-3186 Ph: (941) 928-7536 |
Dr. Marilyn Ong, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21 Carmichael St Ste 101, Essex Junction, VT 05452 Phone: 802-878-9572 | |
Mark Dziadek, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 Essex Way Ste 106, Essex Junction, VT 05452 Phone: 802-865-2226 | |
Johnson Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 67 Lincoln St, Essex Junction, VT 05452 Phone: 802-434-3199 | |
Tory Elana Wilder, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 63 Main St, Essex Junction, VT 05452 Phone: 802-857-5976 Fax: 802-857-5175 | |
Mr. James R Cummings, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Market Place, Suites 27 & 33, Essex Junction, VT 05452 Phone: 802-878-9572 Fax: 802-878-9592 | |
Stacey Garcia, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21 Carmichael St, Essex Junction, VT 05452 Phone: 802-878-9572 | |
Ms. Esther Elizabeth Halden, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 Morse Dr, Essex Junction, VT 05452 Phone: 802-857-0144 Fax: 802-857-0192 |