Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Gallagher, PA

Individual provider Physician Assistant · NPI 1063470557

Jacqueline Gallagher, PA is a Physician Assistant in Berlin, Vermont. Qualified in 1993, 33 years ago. Practices with Clearchoicemd, PLLC, a 93-clinician group. Licensed in Massachusetts and Vermont.

Years since qualifying
33
Licensed in
MA, VT
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

130 Fisher Rd Emergency Dept
Berlin, VT 05602-9516
Phone: (802) 371-4365
Fax: (802) 371-4481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 055.0031114 (VT)
Physician Assistant Taxonomy 363A00000X · Licence 586 (MA)

Record details

NPI number1063470557
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESDecember 15, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Clearchoicemd, Pllc — 93 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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