| Sas Gastroenterology Llc | |
|
195 Hospital Loop Ste 7 Berlin VT 05602-8495 | |
| (802) 229-9144 | |
| Not Available |
| Full Name | Sas Gastroenterology Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 195 Hospital Loop Ste 7, Berlin, Vermont |
| Authorized Official Name and Position | Stacy Shen (GASTROENTEROLOGIST) |
| Authorized Official Contact | 8188254075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sas Gastroenterology Llc 195 Hospital Loop Ste 7 Berlin VT 05602-8495 Ph: (802) 229-9144 | Sas Gastroenterology Llc 195 Hospital Loop Ste 7 Berlin VT 05602-8495 Ph: (802) 229-9144 |
| NPI Number | 1225733207 |
|---|---|
| Provider Enumeration Date | 03/31/2023 |
| Last Update Date | 03/31/2023 |
| Medicare PECOS PAC ID | 6002263670 |
|---|---|
| Medicare Enrollment ID | O20231103003120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225733207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Stacy A Shen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174056709 PECOS PAC ID: 9537581012 Enrollment ID: I20230703001848 |
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