Champlain Medical Associates Pllc | |
150 Kennedy Dr S Burlington VT 05403-6749 | |
(802) 448-9370 | |
(802) 448-1414 |
Full Name | Champlain Medical Associates Pllc |
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Speciality | Family Medicine |
Location | 150 Kennedy Dr, S Burlington, Vermont |
Authorized Official Name and Position | Beth Schiller (PARTNER) |
Authorized Official Contact | 5189634355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Champlain Medical Associates Pllc 150 Kennedy Dr S Burlington VT 05403-6749 Ph: () - | Champlain Medical Associates Pllc 150 Kennedy Dr S Burlington VT 05403-6749 Ph: (802) 448-9370 |
NPI Number | 1013273697 |
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Provider Enumeration Date | 04/08/2012 |
Last Update Date | 01/31/2014 |
Medicare PECOS PAC ID | 4981868247 |
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Medicare Enrollment ID | O20120618000283 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013273697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Beth Schiller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396141966 PECOS PAC ID: 6709040066 Enrollment ID: I20150427001444 |
Provider Name | Spencer Blackman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205914884 PECOS PAC ID: 2567483282 Enrollment ID: I20151203002100 |
Provider Name | Alison M Farr |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205200292 PECOS PAC ID: 1254624042 Enrollment ID: I20160802000276 |
Provider Name | Jennifer Huldin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992716617 PECOS PAC ID: 8224076948 Enrollment ID: I20180709001767 |
Provider Name | Christopher T Vogt |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336404722 PECOS PAC ID: 3375762024 Enrollment ID: I20200520002524 |
Provider Name | Marc P Belisle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649785262 PECOS PAC ID: 2860753068 Enrollment ID: I20210204000576 |