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

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (174 clinicians)

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 Hospital · Bennington, VT · CCN 470012

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 IDStateProvider typePAC IDDetails
I20190807002552 VT Practitioner - Emergency Medicine 8729379151 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A154220CAMDEmergency Medicine Physician
042.0014406VTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Vermont Medical Center Inc. Current
since Aug 1, 2019
Accepting new patients
Southwestern Vermont Medical Center Inc. Current
since Aug 1, 2019
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)CodeLicenseStatePrimary
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 Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 15, 2019.

{
    "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

All providers in Bennington, VT · Emergency Medicine Physician in Vermont

Sources for this page

Verify at the official NPI Registry.