| Mr Joseph Matthew Boone, NP-C | |
|
1199 Main St, Fairfax, VT 05454-9530 | |
| (802) 849-2844 | |
| Not Available |
| Full Name | Mr Joseph Matthew Boone |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1199 Main St, Fairfax, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114260015 | NPI | - | NPPES |
| 1021645 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 101.0093988 (Vermont) | Primary |
| Entity Name | The Richford Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803297 PECOS PAC ID: 7012825631 Enrollment ID: O20040313000183 |
| 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 | 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 |
|---|---|
| Mr Joseph Matthew Boone, NP-C 224 Stevens Mills Slide Rd, Richford, VT 05476-9690 Ph: (802) 849-2844 | Mr Joseph Matthew Boone, NP-C 1199 Main St, Fairfax, VT 05454-9530 Ph: (802) 849-2844 |
Sarah Desilvey, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4178 Highbridge Rd, Fairfax, VT 05454 Phone: 802-524-9595 Fax: 802-524-2867 | |
Ms. Tristin Adie, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4178 Highbridge Rd, Fairfax, VT 05454 Phone: 802-528-2600 | |
Ms. Anne T Standish, N.P.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4178 Highbridge Rd, Fairfax, VT 05454 Phone: 802-524-9595 Fax: 802-524-2867 |