| Marble Valley Healthworks, Llc | |
|
8 Commons St Rutland VT 05701-4651 | |
| (802) 772-1989 | |
| (802) 773-4876 |
| Full Name | Marble Valley Healthworks, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 8 Commons St, Rutland, Vermont |
| Authorized Official Name and Position | Ann M Hughes (PRACTICE MANAGER) |
| Authorized Official Contact | 8027721989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marble Valley Healthworks, Llc 8 Commons St Rutland VT 05701-4651 Ph: (802) 772-1989 | Marble Valley Healthworks, Llc 8 Commons St Rutland VT 05701-4651 Ph: (802) 772-1989 |
| NPI Number | 1801394895 |
|---|---|
| Provider Enumeration Date | 01/25/2018 |
| Last Update Date | 06/20/2019 |
| Medicare PECOS PAC ID | 2264778638 |
|---|---|
| Medicare Enrollment ID | O20190107003076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801394895 | NPI | - | NPPES |
| OVN1341 | Medicaid | VT | |
| OVN0388 | Medicaid | VT | |
| 900026 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Bruce D Bullock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649250358 PECOS PAC ID: 5496732745 Enrollment ID: I20040702001278 |
| Provider Name | Seth G Coombs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619955069 PECOS PAC ID: 9931186285 Enrollment ID: I20040702001286 |
| Provider Name | Sally J Beayon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124672340 PECOS PAC ID: 3870824998 Enrollment ID: I20191003002431 |
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Michael Garcia Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Commons St, Rutland, VT 05701 Phone: 802-773-1321 | |
Common Street Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Commons St, Rutland, VT 05701 Phone: 802-773-1321 | |
True Care Vermont, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9 Commons St, Rutland, VT 05701 Phone: 802-779-7522 Fax: 802-747-4061 | |
Associates In Internal Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 254 Stratton Rd, Suite 2, Rutland, VT 05701 Phone: 802-775-5531 Fax: 802-773-4697 |