| Randolph R Knight, MD | |
|
5 S Main St Ste 302, White River Junction, VT 05001-7146 | |
| (866) 679-0831 | |
| (802) 332-3117 |
| Full Name | Randolph R Knight |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 5 S Main St Ste 302, White River 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 |
|---|---|---|---|
| 1942320106 | NPI | - | NPPES |
| ORE4593 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 042.0014564 (Vermont) | Secondary |
| 207Q00000X | Family Medicine | ME143693 (Florida) | Secondary |
| 207Q00000X | Family Medicine | 10087 (New Hampshire) | Primary |
| Entity Name | Littleton Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144223702 PECOS PAC ID: 6901796556 Enrollment ID: O20040322000785 |
| Entity Name | Belonging Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912482787 PECOS PAC ID: 8022443878 Enrollment ID: O20200124000402 |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph R Knight, MD Po Box 1110, Watertown, MA 02471-1110 Ph: (866) 679-0831 | Randolph R Knight, MD 5 S Main St Ste 302, White River Junction, VT 05001-7146 Ph: (866) 679-0831 |
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. David J Park, 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 |