| Evergreen Family Health Partners | |
|
28 Park Ave Williston VT 05495-9701 | |
| (802) 878-1008 | |
| (802) 872-2679 |
| Full Name | Evergreen Family Health Partners |
|---|---|
| Speciality | Family Medicine |
| Location | 28 Park Ave, Williston, Vermont |
| Authorized Official Name and Position | Alyssa H Black (BILLING) |
| Authorized Official Contact | 8028781008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Family Health Partners 28 Park Ave Williston VT 05495-9701 Ph: (802) 878-1008 | Evergreen Family Health Partners 28 Park Ave Williston VT 05495-9701 Ph: (802) 878-1008 |
| NPI Number | 1588790562 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 04/18/2022 |
| Medicare PECOS PAC ID | 1153402888 |
|---|---|
| Medicare Enrollment ID | O20080118000342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588790562 | NPI | - | NPPES |
| 1008514 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Diane C Rippa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285669747 PECOS PAC ID: 2062483555 Enrollment ID: I20041012000148 |
| Provider Name | Elizabeth R Newman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962437418 PECOS PAC ID: 8426010919 Enrollment ID: I20041027000893 |
| Provider Name | Michael Craig Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336158252 PECOS PAC ID: 2769412469 Enrollment ID: I20050812000462 |
| Provider Name | Mark Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770572943 PECOS PAC ID: 9234146911 Enrollment ID: I20060321000728 |
| Provider Name | Jan Ferris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588774608 PECOS PAC ID: 5698783173 Enrollment ID: I20060324000170 |
| Provider Name | Tina Marie D Amato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902957020 PECOS PAC ID: 9931292216 Enrollment ID: I20070831000260 |
| Provider Name | Melisa G Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659585800 PECOS PAC ID: 4688761927 Enrollment ID: I20071102000088 |
| Provider Name | Hella Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043409675 PECOS PAC ID: 2163510876 Enrollment ID: I20071114000083 |
| Provider Name | Andrea Regan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669593125 PECOS PAC ID: 2769558766 Enrollment ID: I20080827000276 |
| Provider Name | Paul Reiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275628158 PECOS PAC ID: 7810070752 Enrollment ID: I20100910000814 |
| Provider Name | James Dougherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629188750 PECOS PAC ID: 8729161666 Enrollment ID: I20100910000832 |
| Provider Name | Rebecca L Joyce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134387244 PECOS PAC ID: 2668644758 Enrollment ID: I20140801000076 |
| Provider Name | Annegret Schmitt-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073916847 PECOS PAC ID: 8224357876 Enrollment ID: I20150501001210 |
| Provider Name | Cheryl Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669979068 PECOS PAC ID: 6709126485 Enrollment ID: I20190315000200 |
| Provider Name | Diane Paulette Collias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396382628 PECOS PAC ID: 0749615623 Enrollment ID: I20200123000471 |
| Provider Name | Jaime Callaghan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982029542 PECOS PAC ID: 6709009855 Enrollment ID: I20200313000953 |
| Provider Name | Preston A Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700249752 PECOS PAC ID: 3678904141 Enrollment ID: I20200518000374 |
| Provider Name | Jason Lippman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679920904 PECOS PAC ID: 4880960343 Enrollment ID: I20210108001957 |
| Provider Name | Scott A Paluska |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1093893430 PECOS PAC ID: 8527049535 Enrollment ID: I20210915000728 |
| Provider Name | Zoe R Stern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144832007 PECOS PAC ID: 1658756903 Enrollment ID: I20220922001270 |
| Provider Name | Laken N Shook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508588518 PECOS PAC ID: 2668849795 Enrollment ID: I20221102003065 |
Adult Medicine Partners - Vermont Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Knight Ln Ste 10, Williston, VT 05495 Phone: 802-872-4343 Fax: 802-872-0907 | |
Vermont Center For Regenerative Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Knight Ln Ste 20, Williston, VT 05495 Phone: 802-734-9455 Fax: 678-574-5605 | |
Tina D'amato, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Knight Ln, Suite 10/20, Williston, VT 05495 Phone: 802-872-7001 Fax: 802-872-9088 | |
Family Medicine Partners - Vermont Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Knight Ln Ste 10, Williston, VT 05495 Phone: 802-872-4343 Fax: 802-872-0907 | |
Thomas Chittenden Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 586 Oak Hill Rd, Williston, VT 05495 Phone: 802-878-8131 | |
Thomas Chittenden Health Center, Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 586 Oak Hill Road, Williston, VT 05495 Phone: 802-878-8131 Fax: 802-879-6853 |