Alexis Gagne (NPI# 1265507545, PAC ID# 7517064314) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1265507545 |
| PAC ID by PECOS | 7517064314 |
| Professional Enrollment ID | I20140407000209 |
| Full Name | Alexis Gagne |
| Organization Legal Name | COPLEY HOSPITAL, INC. |
| Address |
528 Washington Hwy Morrisville VT 05661-8973 |
| Phone Number | 8028888405 |
| Gender | F |
| Credential | PA |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9234125766 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 471305 | COPLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 528 Washington Hwy, Morrisville, VT 05661-8973 | 8028888405 | COPLEY HOSPITAL, INC. |
| Organization Legal Name | COPLEY HOSPITAL, INC. |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Katharina Glick | Physician Assistant | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Nicholas Antell | Orthopedic Surgery | Copley Hospital, Inc. | 555 Washington Hwy, Morrisville, VT 05661 |
| Nella Wennberg | Physician Assistant | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Nathan Hemmer | Emergency Medicine | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Janessa Vandette | Physician Assistant | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Cortny A Rector | Certified Registered Nurse Anesthetist (crna) | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Adam Putnam | Emergency Medicine | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| John C Macy | Orthopedic Surgery | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Courtney Lehn Olmsted | General Surgery | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661 |
| Stuart David Sutherland | Physician Assistant | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Street Address |
528 WASHINGTON HWY |
| City | MORRISVILLE |
| State | VT |
| Zip | 05661-8973 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Katharina Glick | Physician Assistant | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Candice E Ortiz | Diagnostic Radiology | Vermont Radiologists | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Hartley S Neel | Diagnostic Radiology | Vermont Radiologists | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Nella Wennberg | Physician Assistant | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Nathan Hemmer | Emergency Medicine | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Janessa Vandette | Physician Assistant | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Cortny A Rector | Certified Registered Nurse Anesthetist (crna) | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Adam Putnam | Emergency Medicine | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| John C Macy | Orthopedic Surgery | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661-8973 |
| Courtney Lehn Olmsted | General Surgery | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Antell | Orthopedic Surgery | Copley Hospital, Inc. | 555 Washington Hwy, Morrisville, VT 05661 |
| Chloe Tartaglia | Family Medicine | 577 Washington Hwy, Morrisville, VT 05661 | |
| Bryan Monier | Orthopedic Surgery | Copley Hospital, Inc. | 555 Washington Hwy, Morrisville, VT 05661 |
| Mae Hickory | Nurse Practitioner | Copley Hospital, Inc. | 555 Washington Hwy, Morrisville, VT 05661 |
| Sharon Mansfield | Nurse Practitioner | Copley Hospital, Inc. | 555 Washington Hwy, Morrisville, VT 05661 |
| Donald Dupuis | General Surgery | Copley Hospital, Inc. | 528 Washington Hwy, Morrisville, VT 05661 |
| Bryan M Huber | Orthopedic Surgery | Copley Hospital, Inc. | 555 Washington Hwy, Morrisville, VT 05661 |
| Saul G Trevino | Orthopedic Surgery | Copley Hospital, Inc. | 555 Washington Hwy, Morrisville, VT 05661 |
| Katherine Mc Donnally | Clinical Social Worker | 34 Pleasant St, Morrisville, VT 05661-4434 | |
| Elizabeth Z Perez | Urology | 51 Brigham St, Morrisville, VT 05661-6031 | |
| Find all physicians in zip 05661 | |||
| City | MORRISVILLE |
| Zip Code | 05661 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MORRISVILLE + PHYSICIAN ASSISTANT |
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| 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.