Clare Nichols Drebitko, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

RT 1223 Issued in NH

Practice address

1 Medical Center Dr
Lebanon, NH 03756-1000

Phone

(603) 650-5000

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cdrebitko622858@direct.dartmouth-hitchcock.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Windsor Hospital Corporation

  • Internal Medicine Physician
  • Windsor, VT
  • NPI 1841287984
  Medicare reassignment NPD
• Windsor Hospital Corporation

  • Critical Access Hospital
  • Windsor, VT
  • NPI 1922095918
  Medicare reassignment NPD
• Windsor Hospital Corporation

  • Rehabilitation Hospital
  • Windsor, VT
  • NPI 1679560668
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1780772160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 AMSDEN FARM RD",
            "city": "WOODSTOCK",
            "state": "VT",
            "postal_code": "050918203",
            "telephone_number": "802-457-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREBITKO",
        "first_name": "CLARE",
        "middle_name": "NICHOLS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NH",
            "license": "RT 1223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clarendrebitko@mahhc.cernerdirect.com",
            "affiliation": "Y",
            "affiliationName": "WINDSOR HOSPITAL CORPORATION",
            "address_1": "32 Pleasant St",
            "city": "Woodstock",
            "state": "VT",
            "country_code": "US",
            "postal_code": "050911122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gerald A Drabyn, M.D.
• Konstantin Hristov Dragnev, MD
• Maria Concepcion Dragnev, APRN
• Michael Drake, MD
• Robert E Drake, M.D., PH.D.
• Monic R Drescher, MD
• Diane Drew, PA-C
• Larissa Forde Dreyer, PA
• Mary Claire Drinane, MD
• Christiana Noelle Driver, MD

• Pediatric Adolescent Medicine Physician in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Pediatric Adolescent Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.