Individual ProviderGuy TousignantAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address111 Colchester Ave, Fahc - Wp 2, Burlington, VT 05401-1473(802) 847-2415PECOS EnrollmentBased on the most recent information from CMS, provider Guy Tousignant is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1992731053Provider TypeIndividualFull NameTousignant, GuyCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date6/23/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address111 Colchester Ave, Fahc - Wp 2, Burlington, VT 05401-1473Phone(802) 847-2415Fax(802) 847-5324Mailing LocationMailing Address111 Colchester Ave, Fahc - Wp 2, Burlington, VT 05401-1473Phone(802) 847-2415Fax(802) 847-5324Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicense042-0009878VermontProvider IdentifiersIDDescriptionIssuerID1983233DescriptionMedicaidIssuerUnlistedNew YorkIDOVN2011DescriptionMedicaidIssuerUnlistedVermont