Dr Theodore G Shattuck, MD - Otolaryngology in Rutland, VT

Dr Theodore G Shattuck, MD is a Otolaryngology physician based in Rutland, Vermont. Dr Theodore G Shattuck is licensed to practice in Vermont (license number 042-0006143) and his current practice location is 69 Allen St, Suite 4, Rutland, Vermont. He can be reached at his office (for appointments etc.) via phone at (802) 775-3314.

NPI number for Dr Theodore G Shattuck is 1558361444 and his current mailing address is 69 Allen St, Suite 1, Rutland, Vermont. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558361444.

Contact Information

Dr Theodore G Shattuck, MD
69 Allen St, Suite 4,
Rutland, VT 05701-4564
(802) 775-3314
(802) 775-9617



Physician's Profile

Full NameDr Theodore G Shattuck
GenderMale
SpecialityOtolaryngology
Location69 Allen St, Rutland, Vermont
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1558361444
  • Provider Enumeration Date: 07/21/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Theodore G Shattuck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558361444NPI-NPPES
OOO9206MedicaidVT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 042-0006143 (Vermont)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Theodore G Shattuck is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Theodore G Shattuck, MD
69 Allen St, Suite 1,
Rutland, VT 05701-4564

Ph: (802) 775-3314
Dr Theodore G Shattuck, MD
69 Allen St, Suite 4,
Rutland, VT 05701-4564

Ph: (802) 775-3314

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› Verified 3 days ago


Otolaryngology Doctors in Rutland, VT

Dr. David R Charnock, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 69 Allen St, Suite 4, Rutland, VT 05701
Phone: 802-775-3314    Fax: 802-775-9617
Dr. Michell Thurmond, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 69 Allen St, Suite 1, Rutland, VT 05701
Phone: 802-775-3314    Fax: 802-775-9617

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