Hans Peter Diercksen (NPI# 1518984541, PAC ID# 7416912720) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1518984541 |
| PAC ID by PECOS | 7416912720 |
| Professional Enrollment ID | I20041129000668 |
| Full Name | Hans Peter Diercksen |
| Organization Legal Name | COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC. |
| Address |
215 Stratton Rd Rutland VT 05701-4621 |
| Phone Number | 8027733386 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 1979 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2961467386 |
| Number of Group Practice Members | 65 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 470005 | RUTLAND REGIONAL MEDICAL CENTER |
| 300003 | MARY HITCHCOCK MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 275 Route 30 N, Bomoseen, VT 05732-9647 | 8024685641 | COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC. |
| 420 Grove St, Brandon, VT 05733-9062 | 8022476305 | COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC. |
| 1 General Wing Rd, Rutland, VT 05701-4681 | 8027739131 | COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC. |
| 215 Stratton Rd, Rutland, VT 05701-4621 | 8027733386 | COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC. |
| 278 Vt Route 149, West Pawlet, VT 05775-9798 | 8026450580 | COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC. |
| Organization Legal Name | COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC. |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean Cynthia Letts | Internal Medicine | Community Health Centers of The Rutland Region, Inc. | 278 Vt Route 149, West Pawlet, VT 05775-9798 |
| Elizabeth Anne Sheldon-morris | Physician Assistant | Community Health Centers of The Rutland Region, Inc. | 420 Grove St, Brandon, VT 05733-9062 |
| Erica E Tamblini | Clinical Social Worker | Community Health Centers of The Rutland Region, Inc. | 275 Route 30 N, Bomoseen, VT 05732-9647 |
| David B Turner | Obstetrics/gynecology | Community Health Centers of The Rutland Region, Inc. | 1 General Wing Rd, Rutland, VT 05701-4681 |
| Kim Kurak | Family Medicine | Community Health Centers of The Rutland Region, Inc. | 215 Stratton Rd, Rutland, VT 05701-4621 |
| Richard C Baker | Family Medicine | Community Health Centers of The Rutland Region, Inc. | 71 Allen St, Suite 403, Rutland, VT 05701-4570 |
| Amy P Corey | Physician Assistant | Community Health Centers of The Rutland Region, Inc. | 215 Stratton Rd, Rutland, VT 05701-4621 |
| Chris Masillo | Physician Assistant | Community Health Centers of The Rutland Region, Inc. | 215 Stratton Rd, Rutland, VT 05701-4621 |
| John F Dick | Internal Medicine | Community Health Centers of The Rutland Region, Inc. | 71 Allen St, Suite 403, Rutland, VT 05701-4570 |
| Clara H Martell | Physician Assistant | Community Health Centers of The Rutland Region, Inc. | 275 Route 30 N, Bomoseen, VT 05732-9647 |
| Street Address |
215 STRATTON RD |
| City | RUTLAND |
| State | VT |
| Zip | 05701-4621 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim Kurak | Family Medicine | Community Health Centers of The Rutland Region, Inc. | 215 Stratton Rd, Rutland, VT 05701-4621 |
| Amy P Corey | Physician Assistant | Community Health Centers of The Rutland Region, Inc. | 215 Stratton Rd, Rutland, VT 05701-4621 |
| Chris Masillo | Physician Assistant | Community Health Centers of The Rutland Region, Inc. | 215 Stratton Rd, Rutland, VT 05701-4621 |
| Annelise Ulrich | Clinical Social Worker | Community Health Centers of The Rutland Region, Inc. | 215 Stratton Rd, Rutland, VT 05701-4621 |
| T Ray Lovko | Internal Medicine | Community Health Centers of The Rutland Region, Inc. | 215 Stratton Rd, Rutland, VT 05701-4621 |
| Eitan Sobel | Internal Medicine | Community Health Centers of The Rutland Region, Inc. | 215 Stratton Rd, Rutland, VT 05701-4621 |
| Jason Keicher | Clinical Social Worker | Community Health Centers of The Rutland Region, Inc. | 215 Stratton Rd, Rutland, VT 05701-4621 |
| Kathryn Richards-peelle | Nurse Practitioner | Community Health Centers of The Rutland Region, Inc. | 215 Stratton Rd, Rutland, VT 05701-4621 |
| Lilah R Woodard | Nurse Practitioner | Community Health Centers of The Rutland Region, Inc. | 215 Stratton Rd, Rutland, VT 05701-4621 |
| Carl Beckler | Family Medicine | Community Health Centers of The Rutland Region, Inc. | 215 Stratton Rd, Rutland, VT 05701-4621 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald Mclaughlin | Oral Surgery | 206 N Main St, Rutland, VT 05701-2411 | |
| Nancy Driscoll | Certified Clinical Nurse Specialist (cns) | 111 Park Ave, Rutland, VT 05701-2819 | |
| Aaron Jones | Registered Dietitian Or Nutrition Professional | 145 State St, Rutland, VT 05701-2978 | |
| Scott F Webb | Optometry | 198 N Main St, Suite 3, Rutland, VT 05701-3025 | |
| Justine Franko | Certified Nurse Midwife | Planned Parenthood of Northern New England | 6 Roberts Ave, Rutland, VT 05701-3120 |
| Sherilynn Stofka | Maxillofacial Surgery | 66 N Main St, Rutland, VT 05701-3249 | |
| Marc A Cecil | Psychologist, Clinical | 65 N Main St, Rutland, VT 05701-3252 | |
| Thomas E Mccormick | Internal Medicine | 57 Chestnut Ave, Rutland, VT 05701-3409 | |
| Charles L Foster | Chiropractic | Charles L Foster Dc PC | 11 Cottage St, Rutland, VT 05701-3440 |
| Frank R Aquistapace Jr. | Optometry | 69 Woodstock Ave, Parizos Champlain Va, Rutland, VT 05701-3534 | |
| Find all physicians in zip 05701 | |||
| City | RUTLAND |
| Zip Code | 05701 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RUTLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Hans Peter Diercksen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.