| Robert D Pitts, MD | |
|
115 Porter Dr, Porter Hospital, Middlebury, VT 05753 | |
| (802) 388-4001 | |
| (802) 388-5612 |
| Full Name | Robert D Pitts |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 115 Porter Dr, Middlebury, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063592210 | NPI | - | NPPES |
| 28048 | Other | VT | BCBS |
| 77V130 | Other | VT | MVP VT MGD CARE |
| 0VN0975 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | (Vermont) | Primary |
| Entity Name | Northwestern Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720112659 PECOS PAC ID: 5496714313 Enrollment ID: O20041006001249 |
| Entity Name | Porter Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134457013 PECOS PAC ID: 1850365180 Enrollment ID: O20050919000862 |
| Entity Name | Northwestern Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538293469 PECOS PAC ID: 5496714313 Enrollment ID: O20081114000535 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert D Pitts, MD 115 Porter Dr, 40 Susan Spitzner Finance Dept, Middlebury, VT 05753 Ph: (802) 388-5607 | Robert D Pitts, MD 115 Porter Dr, Porter Hospital, Middlebury, VT 05753 Ph: (802) 388-4001 |
Jessica H Wagener, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 Phone: 802-388-4001 Fax: 802-388-5612 | |
Amanda S. Young, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 115 Porter Drive, Middlebury, VT 05753 Phone: 802-388-5607 Fax: 802-388-5654 | |
Glen R Lovejoy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 Phone: 802-388-4001 Fax: 802-388-5612 | |
William J Nowlan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 Phone: 802-388-4001 Fax: 802-388-5612 | |
Fred W Kniffin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 Phone: 802-388-4001 Fax: 802-388-5612 | |
Robert Rene Gosselin, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6a Maple St, Middlebury, VT 05753 Phone: 724-991-3254 |