Dr. Shellie Burdick Llc | |
10 Bank St North Bennington VT 05257-9101 | |
(802) 732-3010 | |
(802) 732-3010 |
Full Name | Dr. Shellie Burdick Llc |
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Speciality | Clinic/Center |
Location | 10 Bank St, North Bennington, Vermont |
Authorized Official Name and Position | Shellie Burdick (OWNER) |
Authorized Official Contact | 8027323010 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr. Shellie Burdick Llc Po Box 11 North Bennington VT 05257-0011 Ph: (802) 732-3010 | Dr. Shellie Burdick Llc 10 Bank St North Bennington VT 05257-9101 Ph: (802) 732-3010 |
NPI Number | 1376226175 |
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Provider Enumeration Date | 08/08/2023 |
Last Update Date | 08/08/2023 |
Medicare PECOS PAC ID | 8123482957 |
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Medicare Enrollment ID | O20230913000951 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376226175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Shellie Burdick |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376839332 PECOS PAC ID: 2860714854 Enrollment ID: I20210706003327 |
Avery Wood Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Bank Street, North Bennington, VT 05257 Phone: 888-421-6801 Fax: 888-421-6801 |