| Fiddlehead Ledge Llc | |
|
12 Church St Swanton VT 05488-1447 | |
| (802) 868-3175 | |
| Not Available |
| Full Name | Fiddlehead Ledge Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12 Church St, Swanton, Vermont |
| Authorized Official Name and Position | Kristina Duprat (OWNER) |
| Authorized Official Contact | 8029335702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fiddlehead Ledge Llc 67 Shawville Rd Sheldon VT 05483-8383 Ph: (802) 933-5702 | Fiddlehead Ledge Llc 12 Church St Swanton VT 05488-1447 Ph: (802) 868-3175 |
| NPI Number | 1669146510 |
|---|---|
| Provider Enumeration Date | 08/04/2021 |
| Last Update Date | 08/04/2021 |
| Medicare PECOS PAC ID | 1153711171 |
|---|---|
| Medicare Enrollment ID | O20211207000940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669146510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kristina M Unikewicz Duprat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598315236 PECOS PAC ID: 1052749272 Enrollment ID: I20200320001740 |
| Provider Name | Hana Rose Galletta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235893728 PECOS PAC ID: 2365829652 Enrollment ID: I20220505002226 |
| Provider Name | Caitlin Maguy Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518676980 PECOS PAC ID: 9537521901 Enrollment ID: I20230816003727 |
Swanton Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 26 Canada St, Swanton, VT 05488 Phone: 800-868-2454 Fax: 802-868-2461 | |
Michael J Corrigan Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Church St, Swanton, VT 05488 Phone: 802-868-3175 Fax: 802-868-2923 |