MEDICARE: MICHAEL J DASHNAW PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	5530304	VT
2	363A00000X	Physician Assistant	004999	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245252030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL J DASHNAW PA-C

Provider Business Mailing Address
First Line	:	71 ALLEN POND
Second Line	:	SUITE 403
City	:	RUTLAND
State	:	VT
Zip	:	05701-4570
Country	:	US
Telephone Number	:	802-772-4414
Fax Number	:	802-772-7973

Provider Business Practice Location Address
First Line	:	278 VT ROUTE 149
Second Line	:
City	:	WEST PAWLET
State	:	VT
Zip	:	05775-9798
Country	:	US
Telephone Number	:	802-645-0580
Fax Number	:	802-645-0587

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	02/22/2016

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1174516256 — JEAN CYNTHIA LETTS MD
Practice Location Address:

278 VT ROUTE 149
WEST PAWLET, VT
05775-9798

Practice Phone: 802-645-0580
Practice Fax:

1104870922 — COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC.
Practice Location Address:

278 VT ROUTE 149
WEST PAWLET, VT
05775-9798

Practice Phone: 802-645-0580
Practice Fax: 802-645-0587

1598785628 — CARL E BECKLER MD
Practice Location Address:

278 VT ROUTE 149 , METTOWEE VALLEY FAMILY HEALTH CENTER
WEST PAWLET, VT
05775-9798

Practice Phone: 802-645-0580
Practice Fax: 802-645-0587

1326068313 — BRIAN N KILPATRICK MD
Practice Location Address:

278 VT ROUTE 149 , METTOWEE VALLEY FAMILY HEALTH CENTER
WEST PAWLET, VT
05775-9798

Practice Phone: 802-645-0580
Practice Fax: 802-645-0587

1346261054 — JACQUELINE M BECKER NP
Practice Location Address:

278 VT ROUTE 149 , METTOWEE VALLEY FAMILY HEALTH CENTER
WEST PAWLET, VT
05775-9798

Practice Phone: 802-645-0580
Practice Fax: 802-645-0587

Directions to “ MICHAEL J DASHNAW PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.