Olivia Bellavance, PA-C
Individual provider Active NPI Physician Assistant · St Johnsbury, VT
NPI 1083322176 · NPPES record last updated Nov 8, 2022
Key facts
- NPI
- 1083322176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 41 Sherman Dr
St Johnsbury, VT 05819-9280 - Phone
- (802) 748-5361
- NPI assigned
- Nov 8, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeastern Vermont Regional Hospital Inc
Practice addresses (Care Compare)
1315 Hospital Dr
Saint Johnsbury, VT 05819-9210
PO Box
St Johnsbury, VT 05819-0905
Hospital & facility affiliations
- Northeastern Vermont Regional Hospital
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230125001119 | VT | Practitioner - Physician Assistant | 2466823786 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc. | Current |
Accepting new patients | |
| Northeastern Vermont Regional Hospital Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current |
Accepting new patients | |
| Northeastern Vermont Regional Hospital Inc. | Current |
Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current |
Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current |
Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc. | Past |
Accepting new patients |
Locations
1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
41 Sherman Dr
St Johnsbury, VT 05819-9280
Mailing address
6562 VT Route 215 N
Cabot, VT 05647-9771
Phone (802) 272-9658
Other practice location 1
1315 Hospital Dr
St Johnsbury, VT 05819-9210
Phone (802) 748-8141
Other providers in St Johnsbury, VT
- Bonnie L Bassett
- Margaret Beadle
- Felicia Bean
- Sylvia B Bedor
- Nichole Marie Bell
- Beneath the Boughs, PLLC
- Amber L Bennett
- Richard R Bennum
- Abigail Bernier
- Cathleen W Besch
All providers in St Johnsbury, VT · Physician Assistant in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2022. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.