Bethany Lynn Stack, PA
Bethany Lynn Stack, PA is a Physician Assistant in Rutland, Vermont. Qualified in 2003, 23 years ago. Practices with Rutland Hospital, Inc, a 186-clinician group and accepts Medicare assignment. Licensed in Vermont.
- Years since qualifying
- 23
- Licensed in
- VT
- In the registry since
- 2005
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
3 Albert Cree DrRutland, VT 05701-4601
Phone: (802) 775-2937
Fax: (802) 773-0934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 055-0030670 (VT) |
|---|
Record details
| NPI number | 1184619876 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | Yes |
| NPI enumerated | September 19, 2005 |
| Last updated in NPPES | March 3, 2011 |
| Mailing address | 3 Albert Cree Dr, Rutland, VT 05701-4601 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2003 (23 years in practice) |
| Group practice | Rutland Hospital, Inc. — 186 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Rutland
-
Linda Marie McKenna, RPAC
160 Allen St, Rutland, VT 05701-4560 · (802) 747-1831
-
Robert G. Mitchell, PA-C
160 Allen St, Rutland, VT 05701-4560 · (802) 775-7111
-
Karie Shelton, PA-C
10 Commons St, Rutland, VT 05701-4651 · (802) 747-3359
-
Mrs. Regina Catherine Springer, PA-C
71 Allen St Ste 203, Rutland, VT 05701-4570 · (802) 775-7798
-
Michael P Vooris, PA-C
160 Allen St, Rutland, VT 05701-4560 · (802) 747-3602