Green Mountain Dermatology PLLC
NPI 1093577827ActiveOrganization· Dermatology· Colchester, VT
Dermatology in Colchester, Vermont, registered in NPPES in January 2024. The authorized official on file is Jennifer Haley, MD, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1093577827 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 26, 2024 |
| Last updated in NPPES | Oct 11, 2024 |
| Certified by provider | Oct 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (VT) |
|---|
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