| True Care Vermont, Llc | |
|
9 Commons St Rutland VT 05701-4652 | |
| (802) 779-7522 | |
| (802) 747-4061 |
| Full Name | True Care Vermont, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9 Commons St, Rutland, Vermont |
| Authorized Official Name and Position | Ann Hughes (PRACTICE MANAGER) |
| Authorized Official Contact | 8027794321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| True Care Vermont, Llc 9 Commons St Rutland VT 05701-4652 Ph: (802) 779-7522 | True Care Vermont, Llc 9 Commons St Rutland VT 05701-4652 Ph: (802) 779-7522 |
| NPI Number | 1073261350 |
|---|---|
| Provider Enumeration Date | 03/15/2022 |
| Last Update Date | 03/28/2023 |
| Medicare PECOS PAC ID | 2466849955 |
|---|---|
| Medicare Enrollment ID | O20220502002083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073261350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bruce D Bullock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649250358 PECOS PAC ID: 5496732745 Enrollment ID: I20040702001278 |
| Provider Name | Tammy S Devereux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609587492 PECOS PAC ID: 9234504986 Enrollment ID: I20230411000785 |
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