Erin Margaret Duquette
Individual provider Active NPI Emergency Medicine Physician · Bennington, VT
NPI 1821484775 · NPPES record last updated Aug 15, 2019
Key facts
- NPI
- 1821484775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 042.0014406 (VT)
- Practice address
- 100 Hospital Dr
Bennington, VT 05201-5004 - Phone
- (802) 447-5300
- Fax
- (802) 447-2469
- NPI assigned
- Apr 7, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwestern Vermont Medical Center, Inc
Practice addresses (Care Compare)
100 Hospital Dr
Bennington, VT 05201-5004
Phone (802) 442-6361
5957 Main St
Manchester Center, VT 05255-8913
Phone (802) 362-4440
Hospital & facility affiliations
- Southwestern Vermont Medical Center
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 |
|---|---|---|---|---|
| I20190807002552 | VT | Practitioner - Emergency Medicine | 8729379151 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A154220 | CA | MD | Emergency Medicine Physician |
| 042.0014406 | VT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwestern Vermont Medical Center Inc. | Current |
Accepting new patients | |
| Southwestern Vermont Medical Center Inc. | Current |
Accepting new patients | |
| Southwestern Vermont Medical Center, Inc | Past | Accepting new patients |
Locations
140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836
120 Hospital Dr
Bennington, VT 05201
Phone (802) 440-4077
100 Hospital Dr
Bennington, VT 05201
Phone (802) 447-4509
5957 Main St
Manchestr Ctr, VT 05255
Phone (802) 362-4440
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A154220 | CA | |
| Emergency Medicine Physician | 207P00000X | 042.0014406 | VT | Yes |
Addresses
Primary practice location
100 Hospital Dr
Bennington, VT 05201-5004
Mailing address
100 Hospital Dr
Bennington, VT 05201-5004
Phone (802) 447-5300
Other practice location 1
1840 Medical Center Pkwy Ste 403
Murfreesboro, TN 37129-3237
Phone (716) 609-8854
Other names
- Erin Marchuk
NPI Registry JSON
{
"created_epoch": "1428364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1821484775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HOSPITAL DR",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052015004",
"telephone_number": "802-447-5300",
"fax_number": "802-447-2469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL DR",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052015004",
"telephone_number": "802-447-5300",
"fax_number": "802-447-2469"
}
],
"practiceLocations": [
{
"address_1": "1840 Medical Center Pkwy Ste 403",
"address_purpose": "LOCATION",
"city": "Murfreesboro",
"state": "TN",
"postal_code": "371293237",
"country_code": "US",
"telephone_number": "716-609-8854",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUQUETTE",
"first_name": "ERIN",
"middle_name": "MARGARET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-07",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A154220",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VT",
"license": "042.0014406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "MARCHUK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bennington, VT
- Therese E Dranginis
- Simon Paul Drew
- Stuart Michael Duboff
- G Richard Dundas
- Ciara Dunphy
- Jerry Durgin
- Aron Jon Efimenko
- Stacy D'Lynn Eggsware
- Thomas Mitchell Eggsware II
- Karen Ejeriefe
All providers in Bennington, VT · Emergency Medicine 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 Aug 15, 2019. 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.