| Dr Clifton Frederick Lord, MD | |
|
220 Holiday Dr, White River Junction, VT 05001-2011 | |
| (802) 674-9400 | |
| (802) 674-9410 |
| Full Name | Dr Clifton Frederick Lord |
|---|---|
| Gender | Male |
| Speciality | Addiction Medicine |
| Experience | 47 Years |
| Location | 220 Holiday Dr, White River Junction, Vermont |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497828859 | NPI | - | NPPES |
| 0006638 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0401X | Internal Medicine - Addiction Medicine | 0420007259 (Vermont) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Connecticut Valley Addiction Recovery Inc | 1850710179 | 4 |
| Entity Name | Connecticut Valley Addiction Recovery Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750932646 PECOS PAC ID: 1850710179 Enrollment ID: O20201006000289 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clifton Frederick Lord, MD 220 Holiday Dr Ste A, White River Junction, VT 05001-2015 Ph: (802) 674-9400 | Dr Clifton Frederick Lord, MD 220 Holiday Dr, White River Junction, VT 05001-2011 Ph: (802) 674-9400 |
Dr. Gregory Simon Ogrinc, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: White River Junction Veterans Hospital, 215 N Main St (11q), White River Junction, VT 05009 Phone: 802-291-6285 Fax: 802-291-6286 | |
Dr. Robert Peter Mogielnicki, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Veterans Hospital, 215 North Main Street, White River Junction, VT 05009 Phone: 802-295-9363 | |
Dr. Luiz Mauricio Kolankiewicz, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 215 N Main St, White River Junction, VT 05009 Phone: 802-295-9363 | |
Dr. Lynn Levasseur Marshall, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 215 North Main Street, White River Junction, VT 05001 Phone: 603-315-8508 | |
Dr. Kerry Vrakatitsis, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 215 N Main St, White River Junction, VT 05009 Phone: 802-295-9363 Fax: 802-291-6289 | |
Dr. Henry Gilbert Welch, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 215 N Main St, White River Junction, VT 05009 Phone: 802-296-5178 | |
Alexander D Fuld, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 N Main St, Va Hospital, White River Junction, VT 05009 Phone: 802-295-9363 |