MEDICARE: POST ACUTE SPECIALISTS OF VERMONT PLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1639700719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POST ACUTE SPECIALISTS OF VERMONT PLC

Provider Business Mailing Address
First Line	:	119 S WESTERN AVE UNIT 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-4644
Country	:	US
Telephone Number	:	800-411-6768
Fax Number	:	855-751-8051

Provider Business Practice Location Address
First Line	:	601 RED VILLAGE RD
Second Line	:
City	:	LYNDONVILLE
State	:	VT
Zip	:	05851-9068
Country	:	US
Telephone Number	:	800-411-6768
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	LAUREL DOTAS
Credential	:
Telephone Number	:	352-215-1603

Provider Enumeration Date	:	01/28/2020
Last Update Date	:	12/16/2024

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