| Aim Healthcare Providers Vt, Llc | |
|
445 Industrial Ln Berlin VT 05602-4415 | |
| (480) 494-2465 | |
| Not Available |
| Full Name | Aim Healthcare Providers Vt, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 445 Industrial Ln, Berlin, Vermont |
| Authorized Official Name and Position | Kelly Karaniuk (CREDENTIALING DIRECT) |
| Authorized Official Contact | 4804942465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aim Healthcare Providers Vt, Llc 161 E Rivulon Blvd Ste 210 Gilbert AZ 85297-0087 Ph: (480) 494-2465 | Aim Healthcare Providers Vt, Llc 445 Industrial Ln Berlin VT 05602-4415 Ph: (480) 494-2465 |
| NPI Number | 1649014705 |
|---|---|
| Provider Enumeration Date | 06/24/2024 |
| Last Update Date | 12/09/2024 |
| Medicare PECOS PAC ID | 9830637719 |
|---|---|
| Medicare Enrollment ID | O20240812000848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649014705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ann T Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578907044 PECOS PAC ID: 8921241365 Enrollment ID: I20140110000465 |
| Provider Name | Tiney Elizabeth Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154331346 PECOS PAC ID: 3870680457 Enrollment ID: I20170306002079 |
| Provider Name | Tammy Devereux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609587492 PECOS PAC ID: 9234504986 Enrollment ID: I20230411000785 |
| Provider Name | Frances Vivein Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164146528 PECOS PAC ID: 7416317615 Enrollment ID: I20230719003833 |
| Provider Name | Jessica Lorraine Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740435353 PECOS PAC ID: 9234294646 Enrollment ID: I20240812000924 |
| Provider Name | Julia Didesiderio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548717192 PECOS PAC ID: 9537441993 Enrollment ID: I20240827001281 |
| Provider Name | Wietske Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235291394 PECOS PAC ID: 9638073760 Enrollment ID: I20240829002070 |
| Provider Name | Amish Purohit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053413286 PECOS PAC ID: 1355347170 Enrollment ID: I20240913003461 |
| Provider Name | Lindsay Carlucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912348541 PECOS PAC ID: 7214161397 Enrollment ID: I20240919001366 |
| Provider Name | Praveen Jayakumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235337486 PECOS PAC ID: 0648495150 Enrollment ID: I20241018000554 |
| Provider Name | Allison Comtois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508605429 PECOS PAC ID: 4183157878 Enrollment ID: I20241104000276 |
| Provider Name | Tricia Mcgovern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891026506 PECOS PAC ID: 3971648551 Enrollment ID: I20241106000940 |
| Provider Name | Jessica K Fichter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447643986 PECOS PAC ID: 5698087732 Enrollment ID: I20241121002868 |
Arthur J Esswein Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 Hospital Loop, Suite 7, Berlin, VT 05602 Phone: 802-229-9144 Fax: 802-223-1697 | |
Central Vermont Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 Fisher Rd, Berlin, VT 05602 Phone: 802-371-4100 Fax: 802-371-4488 | |
Sas Gastroenterology Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 195 Hospital Loop Ste 7, Berlin, VT 05602 Phone: 802-229-9144 | |
Arkos Vermont, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 Industrial Ln, Berlin, VT 05602 Phone: 480-494-2465 Fax: 480-534-4087 |