Shaftsbury Medical Associates, Inc. | |
677 Vt. Rte. 7a Shaftsbury VT 05262-0379 | |
(802) 442-8531 | |
(802) 442-1503 |
Full Name | Shaftsbury Medical Associates, Inc. |
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Speciality | Family Medicine |
Location | 677 Vt. Rte. 7a, Shaftsbury, Vermont |
Authorized Official Name and Position | David E King (PRESIDENT) |
Authorized Official Contact | 8024428531 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shaftsbury Medical Associates, Inc. Po Box 379 Shaftsbury VT 05262-0379 Ph: (802) 442-8531 | Shaftsbury Medical Associates, Inc. 677 Vt. Rte. 7a Shaftsbury VT 05262-0379 Ph: (802) 442-8531 |
NPI Number | 1366524795 |
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Provider Enumeration Date | 10/19/2006 |
Last Update Date | 11/20/2015 |
Medicare PECOS PAC ID | 3870554207 |
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Medicare Enrollment ID | O20041020000227 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366524795 | NPI | - | NPPES |
VT4495 | Medicaid | VT | |
5141 | Other | VT | MVP |
SHAF00018096 | Other | VT | VT BC-BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Allison P Niemi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831154616 PECOS PAC ID: 4486614088 Enrollment ID: I20041018001028 |
Provider Name | David E King |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245295906 PECOS PAC ID: 1759342199 Enrollment ID: I20080531000032 |
Provider Name | Drinnon A Hand |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598720252 PECOS PAC ID: 9234204520 Enrollment ID: I20090720000032 |
Provider Name | Melissa J Prouty |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568772747 PECOS PAC ID: 3072709203 Enrollment ID: I20101130000267 |
Provider Name | Jamie Rogers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790293777 PECOS PAC ID: 0749542827 Enrollment ID: I20180419002882 |