| Vernon Integrative Medical Group Llc | |
|
10 Winthrop St Worcester MA 01604 | |
| (508) 754-9950 | |
| (508) 754-2592 |
| Full Name | Vernon Integrative Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10 Winthrop St, Worcester, Massachusetts |
| Authorized Official Name and Position | Jon Trister (MD INTERNAL MEDICINE) |
| Authorized Official Contact | 5087549950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vernon Integrative Medical Group Llc 10 Winthrop St Worcester MA 01604 Ph: (508) 754-9950 | Vernon Integrative Medical Group Llc 10 Winthrop St Worcester MA 01604 Ph: (508) 754-9950 |
| NPI Number | 1114175627 |
|---|---|
| Provider Enumeration Date | 09/09/2008 |
| Last Update Date | 09/20/2012 |
| Medicare PECOS PAC ID | 9133282304 |
|---|---|
| Medicare Enrollment ID | O20090114000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114175627 | NPI | - | NPPES |
| 0400664 | Other | EVERCARE | |
| 43899 | Other | MA | BMCHP |
| 5841132 | Other | MA | AETNA |
| 1928586 | Other | CIGNA | |
| 33586 | Other | HEALTH NEW ENGLAND | |
| 110082379A | Medicaid | MA | |
| 29736 | Other | FALLON | |
| 6141990001 | Other | MA | NATIONAL SUPPLIER CLEARINGHOUSE |
| J16290 | Other | BLUE CROSS BLUE SHIELD | |
| 0400053 | Other | UNITED HEALTH CARE | |
| 985162 | Other | NETWORK HEALTH | |
| 3144941 | Medicaid | MA | |
| 080587 | Other | TUFTS | |
| 66212 | Other | HARVARD PILGRIM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 80587 (Massachusetts) | Primary |
| Provider Name | Jon Trister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639131352 PECOS PAC ID: 4486600954 Enrollment ID: I20050328000791 |
| Provider Name | Rosa Vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841895752 PECOS PAC ID: 2163838954 Enrollment ID: I20210302001791 |
| Provider Name | Jolanta Sledzik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699476036 PECOS PAC ID: 2567828643 Enrollment ID: I20230516000370 |
Jain Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Winthrop St, Worcester, MA 01604 Phone: 508-799-4100 Fax: 508-799-2388 | |
Worcester Internal Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 416 Belmont St, Worcester, MA 01604 Phone: 508-756-1808 Fax: 508-798-0538 | |
Anthony Distefano, Jr Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 562 Lincoln St, Worcester, MA 01605 Phone: 508-852-6028 Fax: 508-721-7821 | |
Joseph J. Savitt, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Lincoln St, Worcester, MA 01605 Phone: 508-755-1222 Fax: 508-754-9479 | |
Demos Agiomavritis Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 385 Grove St, Suite 120, Worcester, MA 01605 Phone: 508-770-8002 Fax: 508-770-8006 | |
Community Health Link Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Jacques Ave, Worcester, MA 01610 Phone: 508-860-1247 |