| Dr Mark Levine, MD | |
| 
					87 Main St, Essex Junction, VT 05452-3234  | |
| (802) 847-8354 | |
| (802) 847-6575 | 
| Full Name | Dr Mark Levine | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 87 Main St, Essex Junction, Vermont | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1790793214 | NPI | - | NPPES | 
| 0005419 | Medicaid | VT | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 42-0008661 (Vermont) | Primary | 
| Entity Name | University Of Vermont Medical Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Mark Levine, MD 209 Deer Run Dr, Shelburne, VT 05482-7655 Ph: (802) 985-3869  | Dr Mark Levine, MD 87 Main St, Essex Junction, VT 05452-3234 Ph: (802) 847-8354  | 
Dr. Stephen Gorman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 139 Pearl St, Essex Junction, VT 05452 Phone: 802-878-4445  | |
Dr. Douglas Edward Weir, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 River St, 9651h, Essex Junction, VT 05452 Phone: 802-769-2951 Fax: 802-769-2088  | |
Dr. Bradley Paul Reynolds, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5 Deer Crossing Ln, Essex Junction, VT 05452 Phone: 802-878-0495  | |
Dr. Charles D Maclean, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 87 Main St, Essex Junction, VT 05452 Phone: 802-847-8354  | |
Alberto Gutierrez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 87 Main St, Essex Junction, VT 05452 Phone: 802-847-8354  |