Jennifer A Poulin, PT | |
21 Gregory Dr, Suite 120, So Burlington, VT 05403 | |
(802) 658-0949 | |
(802) 658-1436 |
Full Name | Jennifer A Poulin |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 33 Years |
Location | 21 Gregory Dr, So Burlington, 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 |
---|---|---|---|
1275543860 | NPI | - | NPPES |
OVN1462 | Medicaid | VT | |
19701 | Other | VT | BCBS |
0226418001 | Other | VT | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 040-0002746 (Vermont) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Breakthrough Physical Therapy Inc | 9234274754 | 75 |
Provider Name | Breakthrough Physical Therapy Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558598532 PECOS PAC ID: 9234274754 Enrollment ID: O20100308000584 |
Provider Name | Sandhills Sports Performance |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598186082 PECOS PAC ID: 1850514316 Enrollment ID: O20140602001156 |
Mailing Address | Practice Location Address |
---|---|
Jennifer A Poulin, PT Po Box 486, Williston, VT 05495 Ph: (802) 658-0949 | Jennifer A Poulin, PT 21 Gregory Dr, Suite 120, So Burlington, VT 05403 Ph: (802) 658-0949 |
Mr. Joseph Michael Hoeppner, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 150 Kennedy Drive, So Burlington, VT 05403 Phone: 802-862-4670 Fax: 802-862-4431 | |
Ms. Jane Susan Kaufman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: One Kennedy Drive, Suite L2, So Burlington, VT 05403 Phone: 802-863-6662 Fax: 802-861-2224 |