Peter Raymond Casson, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Colchester, VT
NPI 1295741965 · NPPES record last updated Jan 27, 2016
Key facts
- NPI
- 1295741965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 042-0009989 (VT)
- Practice address
- 105 Westview Rd
Suite 302
Colchester, VT 05446-8025 - Phone
- (802) 655-8888
- Fax
- (802) 985-2566
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Suite 5074
Sioux Falls, SD 57117
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VT, ND
- 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 |
|---|---|---|---|---|
| I20080912000224 | VT | Practitioner - Obstetrics/Gynecology | 9032142997 | Reassigns benefits to 1 organization |
| I20260228000833 | ND | Practitioner - Obstetrics/Gynecology |
9032142997 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0009989 | VT | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Obstetrics & Gynecology | Current |
Accepting new patients |
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Sanford Medical Center Fargo | Past | Accepting new patients | |
| Northeastern Reproductive Medicine Laboratories PLLC | Past |
Accepting new patients |
Locations
1111 Harwood Dr S
Fargo, ND 58104
Phone (701) 234-2700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 042-0009989 | VT | Yes |
| Reproductive Endocrinology Physician | 207VE0102X | 042-0009989 | VT |
Addresses
Primary practice location
105 Westview Rd
Suite 302
Colchester, VT 05446-8025
Mailing address
105 Westview Rd
Suite 302
Colchester, VT 05446-8025
Phone (802) 655-8888
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02064762 | Other | NY | NY MEDICAID |
| 0VN2218 | Medicaid | VT |
Other providers in Colchester, VT
- Lisa Font Carey
- Carol J. Gardner, DO PC
- Jessie Carvalho
- Kathryn Carver
- Alyssa Cassanelli
- Cole Raymond Chagnon
- Champlain Anesthesia, PLC
- Champlain Chiropractic Services P.C.
- Champlain Valley Hematology Oncology, PC
- Amy B Cheever
All providers in Colchester, VT · Obstetrics & Gynecology 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 Jan 27, 2016. 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.