| Mark D Jewett, MD | |
|
44 S Main St, Randolph, VT 05060-1381 | |
| (802) 767-3704 | |
| (802) 728-2394 |
| Full Name | Mark D Jewett |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 44 S Main St, Randolph, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518072040 | NPI | - | NPPES |
| 0004649 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0420005709 (Vermont) | Primary |
| Entity Name | Gifford Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942329446 PECOS PAC ID: 4880683663 Enrollment ID: O20040507000460 |
| Entity Name | Gifford Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013269430 PECOS PAC ID: 2668624982 Enrollment ID: O20121213000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark D Jewett, MD Po Box 2000, Randolph, VT 05060-2000 Ph: (802) 767-3704 | Mark D Jewett, MD 44 S Main St, Randolph, VT 05060-1381 Ph: (802) 767-3704 |
Joshua A. Plavin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 44 S Main St, Randolph, VT 05060 Phone: 802-728-7000 Fax: 802-728-2633 | |
Martin C Johns, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 44 S Main St, Randolph, VT 05060 Phone: 802-728-7000 Fax: 802-728-2394 | |
Milton G. Fowler, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 44 S Main St, Randolph, VT 05060 Phone: 802-728-2428 Fax: 802-728-2394 | |
Mr. James Byron Currie, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 44 S Main St, Randolph, VT 05060 Phone: 802-728-2372 Fax: 802-828-2613 | |
Dr. Cristine Joy Maloney, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 44 S Main St, Randolph, VT 05060 Phone: 802-728-7000 Fax: 802-728-2613 |