| Eric Richmond Sargent, MD | |
|
111 Colchester Avenue, East Pavilion 5, Burlington, VT 05401 | |
| (802) 847-2884 | |
| (802) 847-6020 |
| Full Name | Eric Richmond Sargent |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 111 Colchester Avenue, East Pavilion 5, Burlington, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023011517 | NPI | - | NPPES |
| 71754 | Other | IA | WELLMARK/BLUE CROSS/BLUE |
| G87836 | Other | CA | CALIFORNIA LIC |
| 0VN2503 | Medicaid | VT | |
| 01786350 | Medicaid | NY | |
| 37456 | Other | BLUE CROSS BLUE SHIELD | |
| 1023011517 | Medicaid | IA | |
| 209143403 | Medicaid | MO | |
| 42143522520 | Other | JOHN DEERE | |
| 421435525 | Other | TRI-CARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 26588 (Iowa) | Secondary |
| 208800000X | Urology | 0420010146 (Vermont) | Primary |
| Entity Name | Central Vermont Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831374362 PECOS PAC ID: 9335138817 Enrollment ID: O20040510001034 |
| Entity Name | Central Vermont Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023028784 PECOS PAC ID: 9335138817 Enrollment ID: O20051220000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Richmond Sargent, MD 111 Colchester Avenue, Burlington, VT 05401 Ph: (802) 847-2884 | Eric Richmond Sargent, MD 111 Colchester Avenue, East Pavilion 5, Burlington, VT 05401 Ph: (802) 847-2884 |
Elizabeth Ann Stampfl, PA Urology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, East Pavilion-level 5-urology, Burlington, VT 05401 Phone: 802-847-2884 Fax: 802-847-6020 | |
Andrew C Mahoney, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 407-847-4097 | |
Benjamin King, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave # Ep-5, Burlington, VT 05401 Phone: 802-847-2884 | |
Dr. Mark Kenneth Plante, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, East Pavilion-level 5 Urology, Burlington, VT 05401 Phone: 802-847-2884 Fax: 802-847-6020 | |
John A Bisson, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 64 Colchester Ave, Burlington, VT 05401 Phone: 802-863-0107 Fax: 802-658-9292 | |
Richard T Grunert, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-4097 |