Dr Carol Lee Blackwood, MD | |
215 N Main St, Veterans Affairs Medical Center, White River Junction, VT 05009-0001 | |
(802) 742-0415 | |
Not Available |
Full Name | Dr Carol Lee Blackwood |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 215 N Main St, White River Junction, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255301016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 042-0009782 (Vermont) | Primary |
207Q00000X | Family Medicine | 2005-00643 (North Carolina) | Secondary |
Entity Name | Springfield Medical Care Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730336843 PECOS PAC ID: 9133157043 Enrollment ID: O20090622000521 |
Mailing Address | Practice Location Address |
---|---|
Dr Carol Lee Blackwood, MD 215 N Main St, Veterans Affairs Medical Center, White River Junction, VT 05009-0001 Ph: (802) 742-0415 | Dr Carol Lee Blackwood, MD 215 N Main St, Veterans Affairs Medical Center, White River Junction, VT 05009-0001 Ph: (802) 742-0415 |
Dr. Michael L Lyons, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 331 Olcott Dr, Ste U3, White River Junction, VT 05001 Phone: 802-295-6132 Fax: 802-295-1358 | |
Dr. Angela M Toms, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 331 Olcott Dr, Ste U3, White River Junction, VT 05001 Phone: 802-295-6132 Fax: 802-295-1358 | |
Dr. David J Park, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 331 Olcott Dr, Ste U3, White River Junction, VT 05001 Phone: 802-295-6132 Fax: 802-295-1358 | |
Dr. Mark M Nunlist, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 331 Olcott Dr, Ste U3, White River Junction, VT 05001 Phone: 802-295-6132 Fax: 802-295-1358 | |
Jill I Blumberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 331 Olcott Dr, Suite U3, White River Junction, VT 05001 Phone: 802-295-6132 | |
Dr. Julie S Davis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 331 Olcott Dr, Ste U3, White River Junction, VT 05001 Phone: 802-295-6132 Fax: 802-295-1358 |