Glen C Mackenzie (NPI# 1306926704, PAC ID# 5597669473) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1306926704 |
| PAC ID by PECOS | 5597669473 |
| Professional Enrollment ID | I20050906000303 |
| Full Name | Glen C Mackenzie |
| Address |
160 Benmont Ave Suite 22 Bennington VT 05201-1842 |
| Gender | M |
| Credential | MD |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 470012 | SOUTHWESTERN VERMONT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 160 Benmont Ave, Suite 22, Bennington, VT 05201-1842 |
| Street Address |
160 BENMONT AVE SUITE 22 |
| City | BENNINGTON |
| State | VT |
| Zip | 05201-1842 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Felipe Stetson | Clinical Social Worker | 160 Benmont Ave, Suite 5, Bennington, VT 05201-1889 | |
| Bernard M Bandman | Psychologist, Clinical | 160 Benmont Ave, Bennington, VT 05201-1873 | |
| Beth A Halpern | Clinical Social Worker | 160 Benmont Ave, Suite C3 92, Bennington, VT 05201-1873 | |
| Grace B Wilson | Clinical Social Worker | 160 Benmont Ave, Bennington, VT 05201-1873 | |
| Marjorie C Larowe | Psychologist, Clinical | 160 Benmont Ave, Suite 28, Bennington, VT 05201-1842 | |
| David S Brown | Psychologist, Clinical | 160 Benmont Ave, Suite 20, Bennington, VT 05201-1842 | |
| Kristen A Munson | Psychologist, Clinical | 160 Benmont Ave, Suite 20, Bennington, VT 05201-1842 | |
| Lisa M Pezzulich | Psychologist, Clinical | 160 Benmont Ave, Suite 20, Bennington, VT 05201-1842 | |
| Elizabeth Ann Fredland | Clinical Social Worker | 160 Benmont Ave, Suite S27, Bennington, VT 05201-1873 | |
| Mary Jean Sadlak | Psychologist, Clinical | 160 Benmont Ave, Suite 20, Bennington, VT 05201-1842 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert H Tarnas | Family Medicine | Southwestern Vermont Medical Center Inc | Svmc Deerfield Valley Campus, 30 Route 100 South, Bennington, VT 05201 |
| Nora G Parsons | Clinical Social Worker | 185 N St, Bennington, VT 05201-1813 | |
| Mary Pat Mazzola | Psychologist, Clinical | 185 N St, Bennington, VT 05201-1813 | |
| David J Mellinger | Psychologist, Clinical | 185 N St, Bennington, VT 05201-1813 | |
| Maureen M Mcclintock | Clinical Social Worker | 185 N St, Bennington, VT 05201-1813 | |
| Louis Propp | Psychologist, Clinical | 160 Benmont Ave, Suite 18, Bennington, VT 05201-1842 | |
| Heidi Peterson | Clinical Social Worker | 160 Benmont Ave, Suite 20, Bennington, VT 05201-1842 | |
| Melissa J Prouty | Nurse Practitioner | 160 Benmont Ave, Bennington, VT 05201-1842 | |
| Dorothy Jennifer Romans | Psychologist, Clinical | Deer Oaks Mental Health Associates PC | 325 N St, Attn Social Services Dept, Bennington, VT 05201-1858 |
| Leslie Glazer | Psychologist, Clinical | 160 Benmont Ave, Suite 92, Bennington, VT 05201-1873 | |
| Find all physicians in zip 05201 | |||
| City | BENNINGTON |
| Zip Code | 05201 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BENNINGTON + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Glen C Mackenzie.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.