Brattleboro Retreat is an authorized DME supplier for medicare equipments and products.
Brattleboro Retreat is a Psychiatric Hospital in Brattleboro, Vermont. It is located at 1 Anna Marsh Lane, Brattleboro and it's customer support contact number is 802-257-7785. The authorized person of Brattleboro Retreat is Doreen Rancourt who is Credentialing of the pharmacy and his contact number is 802-258-6956. Active license number of Brattleboro Retreat is 649 for Psychiatric Hospital in Vermont. Brattleboro Retreat accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Brattleboro Retreat is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Pharmacy Details:
Brattleboro Retreat type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Brattleboro Retreat
Type:
Psychiatric Hospital
Location:
1 Anna Marsh Lane, Brattleboro, Vermont, 05302-0803
Phone:
802-257-7785
Fax:
802-258-3723
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Doreen Rancourt
Position:
Credentialing
Contact Number:
802-258-6956
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1730185232
NPI Enumeration Date:
21 Jun, 2005
NPI Last Update On:
02 Nov, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brattleboro Retreat are as mentioned below.
Specialization
License Number
State
Status
Psychiatric Hospital
649
Vermont
Primary
Mental Health (Including Community Mental Health Center)
Secondary
Adult Mental Health
Secondary
Adolescent and Children Mental Health
Secondary
Multi-Specialty
Secondary
Clinic Pharmacy
Secondary
Institutional Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0474001
Medicaid
Vermont
Medicare Enrollment:
Brattleboro Retreat is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
7012828908
O20041123000627
Brattleboro Retreat
PART B SUPPLIER - CLINIC/GROUP PRACTICE
7012828908
O20050119000365
Brattleboro Retreat
PART B SUPPLIER - CLINIC/GROUP PRACTICE
7012828908
O20070124000137
Brattleboro Retreat
PART A PROVIDER - HOSPITAL
7012828908
O20080305000122
Brattleboro Retreat
PART B SUPPLIER - CLINIC/GROUP PRACTICE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 101, Brattleboro, Vermont
Zip:
05302-0101
Phone Number:
802-257-7785
Fax Number:
802-258-3798
Patients can reach Brattleboro Retreat at 1 Anna Marsh Lane, Brattleboro, Vermont or can call on customer care at 802-257-7785.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.