White River Family Practice Pc - Medicare Primary Care in White River Jct, VT

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White River Family Practice Pc is a medicare enrolled primary clinic (Family Medicine) in White River Jct, Vermont. The current practice location for White River Family Practice Pc is 331 Olcott Drive, Suite U3, White River Jct, Vermont. For appointments, you can reach them via phone at (802) 295-6132. The mailing address for White River Family Practice Pc is 331 Olcott Drive, Suite U3, White River Jct, Vermont and phone number is (802) 295-6132.

White River Family Practice Pc is licensed to practice in Vermont (license number ). The clinic also participates in the medicare program and its NPI number is 1518032564. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (802) 295-6132.

Contact Information

White River Family Practice Pc
331 Olcott Drive
Suite U3
White River Jct
VT 05001
(802) 295-6132
(802) 295-1358

Map and Direction


Primary Care Clinic Profile

Full NameWhite River Family Practice Pc
SpecialityFamily Medicine
Location331 Olcott Drive, White River Jct, Vermont
Authorized Official Name and PositionMark M Nunlist (MD)
Authorized Official Contact8022956132
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
White River Family Practice Pc
331 Olcott Drive
Suite U3
White River Jct
VT 05001

Ph: (802) 295-6132		White River Family Practice Pc
331 Olcott Drive
Suite U3
White River Jct
VT 05001

Ph: (802) 295-6132

NPI Details:

NPI Number1518032564
Provider Enumeration Date11/22/2006
Last Update Date03/29/2021

Medicare PECOS Information:

Medicare PECOS PAC ID3971561358
Medicare Enrollment IDO20050103000168

Medical Identifiers

Medical identifiers for White River Family Practice Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518032564NPI-NPPES
1011112MedicaidVT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (Vermont)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. White River Family Practice Pc acts as a billing entity for following providers:
Provider NameDavid J Park
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790780211
PECOS PAC ID: 7113998154
Enrollment ID: I20040804000092
Provider NameAngela M Toms
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1457356339
PECOS PAC ID: 1850363052
Enrollment ID: I20041230000563
Provider NameJulie S Davis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841295821
PECOS PAC ID: 4587636790
Enrollment ID: I20041230000571
Provider NameMichael L Lyons
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326043308
PECOS PAC ID: 3678545878
Enrollment ID: I20041230000582
Provider NameKrista Gould
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548436876
PECOS PAC ID: 5193860716
Enrollment ID: I20100308000524
Provider NameJill Blumberg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811961576
PECOS PAC ID: 5890719389
Enrollment ID: I20140131001277
Provider NameSarah Eb Logan
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1063723153
PECOS PAC ID: 7012136278
Enrollment ID: I20140919002042
Provider NameAmanda Digeorge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508365750
PECOS PAC ID: 3779845334
Enrollment ID: I20180319001099
Provider NameKarl W Stanford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942783287
PECOS PAC ID: 4284987926
Enrollment ID: I20181029000047
Provider NameMolly Richter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265041289
PECOS PAC ID: 4082026232
Enrollment ID: I20201214000964
Provider NameMeredith Welsh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104426238
PECOS PAC ID: 1052723756
Enrollment ID: I20201222003004
Provider NameEmily Helen Dillon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174363261
PECOS PAC ID: 8022550508
Enrollment ID: I20240612001456

Reviews and Comments


Family Medicine in White River Jct, VT


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.