| Dr David J Park, MD | |
|
331 Olcott Dr, Ste U3, White River Junction, VT 05001-9601 | |
| (802) 295-6132 | |
| (802) 295-1358 |
| Full Name | Dr David J Park |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 331 Olcott Dr, White River Junction, Vermont |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790780211 | NPI | - | NPPES |
| 1010649 | Medicaid | VT | |
| 8000079 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 042-0010755 (Vermont) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mary Hitchcock Memorial Hospital | Lebanon, NH | Hospital |
| Alice Peck Day Memorial Hospital | Lebanon, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| White River Family Practice Pc | 3971561358 | 10 |
| Entity Name | White River Family Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518032564 PECOS PAC ID: 3971561358 Enrollment ID: O20050103000168 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David J Park, MD 331 Olcott Dr, Ste U3, White River Junction, VT 05001-9601 Ph: (802) 295-6132 | Dr David J Park, MD 331 Olcott Dr, Ste U3, White River Junction, VT 05001-9601 Ph: (802) 295-6132 |
Dr. Carol Lee Blackwood, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 215 N Main St, Veterans Affairs Medical Center, White River Junction, VT 05009 Phone: 802-742-0415 | |
Dr. Michael L Lyons, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 331 Olcott Dr, Ste U3, White River Junction, VT 05001 Phone: 802-295-6132 Fax: 802-295-1358 | |
Dr. Angela M Toms, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 331 Olcott Dr, Ste U3, White River Junction, VT 05001 Phone: 802-295-6132 Fax: 802-295-1358 | |
Dr. Mark M Nunlist, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 331 Olcott Dr, Ste U3, White River Junction, VT 05001 Phone: 802-295-6132 Fax: 802-295-1358 | |
Jill I Blumberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 331 Olcott Dr, Suite U3, White River Junction, VT 05001 Phone: 802-295-6132 | |
Dr. Julie S Davis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 331 Olcott Dr, Ste U3, White River Junction, VT 05001 Phone: 802-295-6132 Fax: 802-295-1358 |