Physician Assistant, Medical
BETHANY STACK P.A.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1184619876 · enumerated 2005-09-19 · record updated 2011-03-03. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 3 ALBERT CREE DR, RUTLAND, VT, 05701-4601 (802) 775-2937 Fax (802) 773-0934 Google Maps Apple Maps OpenStreetMap
- Practice location 3 ALBERT CREE DR, RUTLAND, VT, 05701-4601 (802) 775-2937 Fax (802) 773-0934 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · Primary · License 055-0030670 VT
In this directory
Locations and evidence
-
Practice location
RUTLAND, VT, 057014601
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.