Mykala Rae Wiswell, | |
569 Main St, Lyndonville, VT 05851-9240 | |
(802) 626-4224 | |
(802) 748-5024 |
Full Name | Mykala Rae Wiswell |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 569 Main St, Lyndonville, 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 |
---|---|---|---|
1952912347 | NPI | - | NPPES |
6704637 | Medicaid | VT | |
3125233 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 040.0134189 (Vermont) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeastern Vermont Regional Hospital Inc | 3678481405 | 103 |
Provider Name | Northeastern Vermont Regional Hospital Inc |
---|---|
Provider Type | Part B Supplier - Hospital Department(s) |
Provider Identifiers | NPI Number: 1760773774 PECOS PAC ID: 3678481405 Enrollment ID: O20110607000721 |
Mailing Address | Practice Location Address |
---|---|
Mykala Rae Wiswell, Po Box 905, St Johnsbury, VT 05819-0905 Ph: (802) 748-8141 | Mykala Rae Wiswell, 569 Main St, Lyndonville, VT 05851-9240 Ph: (802) 626-4224 |
Ms. Karey Leigh Pierce, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 569 Main St, Lyndonville, VT 05851 Phone: 802-626-4224 | |
Mr. Anthony Lawrence Sgherza, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31 Middle Street, Northern Physical Therapy, Pc, Lyndonville, VT 05851 Phone: 802-626-4224 Fax: 802-626-5042 | |
Lisa Avery, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31 Middle St., Northern Physical Therapy, Pc, Lyndonville, VT 05851 Phone: 802-626-4224 Fax: 802-626-5042 | |
Mrs. Christine Marie Fournier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 Red Village Rd, Lyndonville, VT 05851 Phone: 802-626-3361 | |
Mr. Gordon Spencer Gatewood, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31 Middle St, Lyndonville, VT 05851 Phone: 802-626-4224 Fax: 802-626-5042 | |
Matthew Richard Breton, PT,MPT,OCS,CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 569 Main St, Lyndonville, VT 05851 Phone: 802-626-4224 Fax: 802-626-5042 | |
Krista Laramee, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 569 Main St, Lyndonville, VT 05851 Phone: 802-626-4224 Fax: 802-748-5024 |