Jennifer Fauntleroy, M.d., P.c. - Medicare Mental Health Clinic in Rutland, VT

Jennifer Fauntleroy, M.d., P.c. is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Rutland, Vermont. The current practice location for Jennifer Fauntleroy, M.d., P.c. is 11 Court Sq, Rutland, Vermont. For appointments, you can reach them via phone at (802) 775-1398. The mailing address for Jennifer Fauntleroy, M.d., P.c. is 11 Court Sq, Rutland, Vermont and phone number is (802) 775-1398.

Jennifer Fauntleroy, M.d., P.c. is licensed to practice in Vermont (license number 042-0009568). The clinic also participates in the medicare program and its NPI number is 1669498853. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (802) 775-1398.

Contact Information

Jennifer Fauntleroy, M.d., P.c.
11 Court Sq
Rutland
VT 05701-4030
(802) 775-1398
(802) 775-5196

Mental Health Clinic Profile

Full NameJennifer Fauntleroy, M.d., P.c.
SpecialityPsychiatry & Neurology
Location11 Court Sq, Rutland, Vermont
Authorized Official Name and PositionJennifer Mary Fauntleroy (OWNER)
Authorized Official Contact8027751398
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Fauntleroy, M.d., P.c.
11 Court Sq
Rutland
VT 05701-4030

Ph: (802) 775-1398
Jennifer Fauntleroy, M.d., P.c.
11 Court Sq
Rutland
VT 05701-4030

Ph: (802) 775-1398

NPI Details:

NPI Number1669498853
Provider Enumeration Date07/14/2006
Last Update Date08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID0042231078
Medicare Enrollment IDO20051219000025

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Medical Identifiers

Medical identifiers for Jennifer Fauntleroy, M.d., P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669498853NPI-NPPES
0VN1669MedicaidVT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 042-0009568 (Vermont)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jennifer Fauntleroy, M.d., P.c. acts as a billing entity for following providers:
Provider NameJennifer M Fauntleroy
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1669448981
PECOS PAC ID: 9234028705
Enrollment ID: I20051219000037

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Psychiatry & Neurology in Rutland, VT

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Mclellan Psychotherapy Plc
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Practice Location: 128 Merchants Row, Rutland, VT 05701
Phone: 802-779-7346    
Psychotherapy Associates
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The Mentor Connector
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Practice Location: 110 Merchants Row Ste 210, Rutland, VT 05701
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Rutland Mental Health Services, Inc.
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Practice Location: 78 S Main St, Rutland, VT 05701
Phone: 802-775-2381    Fax: 802-747-7699
Bradford Psychiatric Associates. Llc
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Medicare: Medicare Enrolled
Practice Location: 199 Stratton Rd Ste 1, Rutland, VT 05701
Phone: 802-775-7798    Fax: 802-775-7762

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