Laura Allen Felsted, DO
Individual provider Active NPI Internal Medicine Physician · Berlin, VT
NPI 1003857178 · NPPES record last updated Dec 4, 2014
Key facts
- NPI
- 1003857178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 032-0000524 (VT)
- Practice address
- 130 Fisher Rd Ste 3
Mountainview Medical
Berlin, VT 05602-9516 - Phone
- (802) 225-5400
- Fax
- (802) 225-5401
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050719000286 | VT | Practitioner - Internal Medicine |
7618904905 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032-0000524 | VT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group Vermont PC | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CDHBAA
- lfelsted515559@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 032-0000524 | VT | Yes |
Addresses
Primary practice location
130 Fisher Rd Ste 3
Mountainview Medical
Berlin, VT 05602-9516
Mailing address
PO Box 547
Central Vermont Medical Center - Finance Dept
Barre, VT 05641-0547
Phone (802) 225-5400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011620 | Medicaid | VT |
Other names
- Laura S Allen
Other providers in Berlin, VT
- Brett Erdreich
- Brendan T. Everett
- Teresa Ann Fama
- Jason Herbert Fechter
- David Felske
- Janis C Finelli
- Molly Flanagan
- Fletcher Allen Health Care,Inc
- Benjamin Arthur Flinn
- Chelsea Maureen Fortunati
All providers in Berlin, VT · Internal Medicine Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.