| Thomas Chittenden Health Center, Plc | |
|
586 Oak Hill Road Williston VT 05495-7103 | |
| (802) 878-8131 | |
| (802) 879-6853 |
| Full Name | Thomas Chittenden Health Center, Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 586 Oak Hill Road, Williston, Vermont |
| Authorized Official Name and Position | Rachel Atkins (BUSINESS MANAGER) |
| Authorized Official Contact | 8028788131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Chittenden Health Center, Plc 586 Oak Hill Road Williston VT 05495-7103 Ph: (802) 878-8131 | Thomas Chittenden Health Center, Plc 586 Oak Hill Road Williston VT 05495-7103 Ph: (802) 878-8131 |
| NPI Number | 1811099229 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 06/11/2013 |
| Medicare PECOS PAC ID | 7012813322 |
|---|---|
| Medicare Enrollment ID | O20031209000188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811099229 | NPI | - | NPPES |
| 0VN1591 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Pamela J Dawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174631915 PECOS PAC ID: 0042116378 Enrollment ID: I20031209000277 |
| Provider Name | Maryanne Kyburz Ladue |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700840600 PECOS PAC ID: 5092759878 Enrollment ID: I20050613000912 |
| Provider Name | Kristen C Bolton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750465746 PECOS PAC ID: 8325083884 Enrollment ID: I20050624000344 |
| Provider Name | Patricia A Towle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669452835 PECOS PAC ID: 8022039585 Enrollment ID: I20051212000699 |
| Provider Name | Harley D Donnelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417967787 PECOS PAC ID: 6406864982 Enrollment ID: I20060324000178 |
| Provider Name | Jeffrey Erik Haddock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861418782 PECOS PAC ID: 4082711486 Enrollment ID: I20070519000030 |
| Provider Name | David N Simcoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225011208 PECOS PAC ID: 9032153853 Enrollment ID: I20081229000204 |
| Provider Name | Joseph H Haddock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831206564 PECOS PAC ID: 0840100251 Enrollment ID: I20100614000579 |
| Provider Name | Adriane C Trout |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144246331 PECOS PAC ID: 8628070968 Enrollment ID: I20130419000135 |
| Provider Name | Nina H Gaby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477850030 PECOS PAC ID: 6608194246 Enrollment ID: I20150413000149 |
| Provider Name | Jack E Visco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497119978 PECOS PAC ID: 0345531448 Enrollment ID: I20160621001320 |
| Provider Name | Lily Stolberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831606326 PECOS PAC ID: 0648533067 Enrollment ID: I20180418001379 |
| Provider Name | Mirsada Nurkanovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831685767 PECOS PAC ID: 2860743846 Enrollment ID: I20181002000895 |
| Provider Name | Adrienne R Jarvis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629573282 PECOS PAC ID: 5698039220 Enrollment ID: I20210823002063 |
| Provider Name | Mei-lani Bixby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457692691 PECOS PAC ID: 3173997020 Enrollment ID: I20230316001850 |
| Provider Name | Katharine Ann Stones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154045714 PECOS PAC ID: 9436511193 Enrollment ID: I20230811000685 |
| Provider Name | Anastasiya Lulic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164208377 PECOS PAC ID: 7315398625 Enrollment ID: I20240111001813 |
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 | |
Evergreen Family Health Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28 Park Ave, Williston, VT 05495 Phone: 802-878-1008 Fax: 802-872-2679 | |
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 |