Virginia C Brack, MD - Pediatrics in Lebanon, NH

Virginia C Brack, MD is a Pediatrics physician based in Lebanon, New Hampshire. Virginia C Brack is licensed to practice in Vermont (license number 042-0010058) and her current practice location is 1 Medical Center Dr, Lebanon, New Hampshire. She can be reached at her office (for appointments etc.) via phone at (603) 650-5000.

NPI number for Virginia C Brack is 1205821220 and her current mailing address is 1 Cliff St, Norwich, Vermont. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205821220.

Contact Information

Virginia C Brack, MD
1 Medical Center Dr,
Lebanon, NH 03756-1000
(603) 650-5000
Not Available

Map and Direction




Physician's Profile

Full NameVirginia C Brack
GenderFemale
SpecialityPediatrics
Location1 Medical Center Dr, Lebanon, New Hampshire
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205821220
  • Provider Enumeration Date: 09/15/2005
  • Last Update Date: 04/26/2013

Medical Identifiers

Medical identifiers for Virginia C Brack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205821220NPI-NPPES
0RE6014MedicaidVT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 042-0010058 (Vermont)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Virginia C Brack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Virginia C Brack, MD
1 Cliff St,
Norwich, VT 05055-9412

Ph: (802) 649-3891
Virginia C Brack, MD
1 Medical Center Dr,
Lebanon, NH 03756-1000

Ph: (603) 650-5000

Reviews and Comments


Pediatrics Doctors in Lebanon, NH

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Paul Eric Palumbo, M.D.
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