Allyson Beth Bazarsky, D.O.
Individual provider Active NPI Neurology Physician · Burlington, VT
NPI 1669735114 · NPPES record last updated Jul 27, 2017
Key facts
- NPI
- 1669735114
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 032-0129467 (VT)
- Practice address
- 111 Colchester Avenue
Uvm Medical Center Neurology
Burlington, VT 05401 - Phone
- (802) 862-5759
- Fax
- (802) 658-0680
- NPI assigned
- Jun 20, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Philadelphia College of Osteopathic Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Vermont Medical Center Inc
Practice addresses (Care Compare)
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
Hospital & facility affiliations
- Univ. of Vermont - Fletcher Allen Health Care
- The University of Vermont Health Network - Champl
- Northwestern Medical Center Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VT, NY
- 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 |
|---|---|---|---|---|
| I20170815001056 | VT | Practitioner - Neurology | 9032481890 | Reassigns benefits to 1 organization |
| I20190515000826 | NY | Practitioner - Neurology | 9032481890 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.012326 | OH | MD | Neurology Physician |
| LL1586 | SC | MD | Neurology Physician |
| 032-0129467 | VT | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Champlain Valley Physicians Hospital Medical Center | Current |
Accepting new patients | |
| University of Vermont Medical Center Inc | Current |
Accepting new patients |
Locations
75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100
15 Degrandpre Way
Plattsburgh, NY 12901
Phone (518) 314-3900
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
Interoperability endpoints
- abazarsky132953@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 34.012326 | OH | |
| Neurology Physician | 2084N0400X | LL1586 | SC | |
| Neurology Physician | 2084N0400X | 032-0129467 | VT | Yes |
Addresses
Primary practice location
111 Colchester Avenue
Uvm Medical Center Neurology
Burlington, VT 05401
Mailing address
111 Colchester Avenue
Uvm Medical Center Neurology
Burlington, VT 05401
Phone (802) 862-5759
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033045 | Medicaid | VT |
Other providers in Burlington, VT
- Quentin Basiren
- Kartheek Batchu
- Kathryn Tipton Battles
- Katherine Batty
- Patricia Bauerle
- Michael P. Bazylewicz
- Isidora Beach
- Ryan Douglas Beal
- David Beams
- Catherine Bean
All providers in Burlington, VT · Neurology 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 Jul 27, 2017. 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.