Teresa Ann Fama, M.D.
Individual provider Active NPI Rheumatology Physician · Berlin, VT
NPI 1376660977 · NPPES record last updated Dec 9, 2013
Key facts
- NPI
- 1376660977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- 0420011411 (VT)
- Practice address
- 130 Fisher Road
Mob-B Suite 2-3
Berlin, VT 05602-9522 - Phone
- (802) 225-1750
- Fax
- (802) 225-1733
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Rheumatology
- Education
- University of Vermont College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Central Vermont Medical Center Inc
Practice addresses (Care Compare)
1311 Barre Montpelier Rd
Berlin, VT 05602
1311 Barre Montpelier Road
400 CVMC Orthopedics and Spine Medicine
Berlin, VT 05602
Phone (802) 225-3970
246 Granger Rd
Berlin, VT 05602
82 E View Lane
3 CVMC Family Psychiatry
Berlin, VT 05602
Phone (802) 225-1266
Hospital & facility affiliations
- Central Vermont Medical Center
- Northeastern Vermont Regional Hospital
- Gifford Medical Center
- North Country Hospital and Health Center
- Univ. of Vermont - Fletcher Allen Health Care
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 |
|---|---|---|---|---|
| I20070919000122 | VT | Practitioner - Rheumatology | 8527152792 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420011411 | VT | MD | Rheumatology Physician |
| 060-0002965 | VT | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Rheumatology | Current |
Accepting new patients |
Locations
77 Vine St
Barre, VT 05641
Phone (802) 225-1266
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
130 Fisher Rd
Ste 23
Berlin, VT 05602
Phone (802) 225-1750
Interoperability endpoints
- tfama82145@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 0420011411 | VT | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X | 060-0002965 | VT |
Addresses
Primary practice location
130 Fisher Road
Mob-B Suite 2-3
Berlin, VT 05602-9522
Mailing address
PO Box 547
Central Vermont Medical Center Inc-Finance Dept
Barre, VT 05641-0547
Phone (802) 225-1750
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014060 | Medicaid | VT |
Other providers in Berlin, VT
- Heidi Eames
- Roger E Ehret
- Ellen L. Emers
- Brett Erdreich
- Brendan T. Everett
- Jason Herbert Fechter
- David Felske
- Laura Allen Felsted
- Janis C Finelli
- Molly Flanagan
All providers in Berlin, VT · Rheumatology 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 9, 2013. 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.