Mountain Lake Plastic Surgery PLC
NPI 1699259648ActiveOrganization· Plastic Surgery· Colchester, VT
Plastic Surgery in Colchester, Vermont, registered in NPPES in September 2018. The authorized official on file is Susan Maclennan, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699259648 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 17, 2018 |
| Last updated in NPPES | Dec 13, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | — | — |
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 (VT) |
|---|
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