Jean Dejace
Individual provider Active NPI Infectious Disease Physician · Burlington, VT
NPI 1609165018 · NPPES record last updated Jan 2, 2026
Key facts
- NPI
- 1609165018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- 042.0013750 (VT)
- Practice address
- 111 Colchester Ave
Burlington, VT 05401-1473 - Phone
- (802) 847-4594
- Fax
- (802) 847-9783
- NPI assigned
- Apr 6, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Tulane University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Vermont Medical Center Inc
Champlain Valley Physicians Hospital Medical Center
Practice addresses (Care Compare)
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000
Hospital & facility affiliations
- Univ. of Vermont - Fletcher Allen Health Care
- The University of Vermont Health Network - Champl
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, 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 |
|---|---|---|---|---|
| I20170823001861 | NY | Practitioner - Internal Medicine |
3971729971 | Reassigns benefits to 3 organizations |
| I20170823002387 | VT | Practitioner - Internal Medicine |
3971729971 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabethtown Community Hospital | Current |
Accepting new patients | |
| University of Vermont Medical Center Inc | Current |
Accepting new patients | |
| Champlain Valley Physicians Hospital Medical Center | Current |
Accepting new patients | |
| Elizabethtown Community Hospital | Current |
Accepting new patients | |
| Total Wellness Centers, LLC | Infectious Disease | Past | Accepting new patients |
Locations
75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
- jdejace166175@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 042.0013750 | VT | Yes |
| Infectious Disease Physician | 207RI0200X | 288548 | NY |
Addresses
Primary practice location
111 Colchester Ave
Burlington, VT 05401-1473
Mailing address
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-4594
Other practice location 1
75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000
Other practice location 2
75 Park St
Elizabethtown, NY 12932
Phone (518) 873-6377
Other providers in Burlington, VT
- Emily Decker
- Deer Oaks New England, LLC
- Hanna Curry Defuria
- Sara Degaetano
- Markus Degirmenci
- James Gilbert Timpson Dekay
- Deborah Deladurantaye
- Leslie Joan Delaney
- Lisa Dellobuono
- Sara Dellorco
All providers in Burlington, VT · Infectious Disease 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 2, 2026. 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.