| Peter Harris, MD | |
|
82 Maple Street, Island Pond, VT 05846 | |
| (802) 723-4300 | |
| (802) 723-4544 |
| Full Name | Peter Harris |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 82 Maple Street, Island Pond, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184734360 | NPI | - | NPPES |
| 8000217 | Other | VT | LADIES FIRST |
| 810628 | Other | VT | MVP |
| 3008260 | Medicaid | NH | |
| 110137555 | Other | VT | RAILROAD MEDICARE |
| 00028804 | Other | VT | BLUE SHIELD |
| 0009470 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0420007993 (Vermont) | Secondary |
| 207R00000X | Internal Medicine | 042.0007993 (Vermont) | Primary |
| Entity Name | North Country Hospital & Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144251059 PECOS PAC ID: 9739073479 Enrollment ID: O20041104000642 |
| Entity Name | Northern Counties Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649236225 PECOS PAC ID: 2860300936 Enrollment ID: O20041203000125 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Harris, MD 165 Sherman Dr, St Johnsbury, VT 05819-9811 Ph: (802) 334-3504 | Peter Harris, MD 82 Maple Street, Island Pond, VT 05846 Ph: (802) 723-4300 |
Robert E Primeau, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 82 Maple, Island Pond, VT 05846 Phone: 802-723-4300 Fax: 802-723-4544 |