Eric Richmond Sargent, MD | |
111 Colchester Avenue, East Pavilion 5, Burlington, VT 05401 | |
(802) 847-2884 | |
(802) 847-6020 |
Full Name | Eric Richmond Sargent |
---|---|
Gender | Male |
Speciality | Urology |
Location | 111 Colchester Avenue, East Pavilion 5, Burlington, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023011517 | NPI | - | NPPES |
71754 | Other | IA | WELLMARK/BLUE CROSS/BLUE |
G87836 | Other | CA | CALIFORNIA LIC |
0VN2503 | Medicaid | VT | |
01786350 | Medicaid | NY | |
37456 | Other | BLUE CROSS BLUE SHIELD | |
1023011517 | Medicaid | IA | |
209143403 | Medicaid | MO | |
42143522520 | Other | JOHN DEERE | |
421435525 | Other | TRI-CARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 26588 (Iowa) | Secondary |
208800000X | Urology | 0420010146 (Vermont) | Primary |
Entity Name | Central Vermont Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831374362 PECOS PAC ID: 9335138817 Enrollment ID: O20040510001034 |
Entity Name | Central Vermont Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023028784 PECOS PAC ID: 9335138817 Enrollment ID: O20051220000393 |
Mailing Address | Practice Location Address |
---|---|
Eric Richmond Sargent, MD 111 Colchester Avenue, Burlington, VT 05401 Ph: (802) 847-2884 | Eric Richmond Sargent, MD 111 Colchester Avenue, East Pavilion 5, Burlington, VT 05401 Ph: (802) 847-2884 |
Elizabeth Ann Stampfl, PA Urology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, East Pavilion-level 5-urology, Burlington, VT 05401 Phone: 802-847-2884 Fax: 802-847-6020 | |
Andrew C Mahoney, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 407-847-4097 | |
Benjamin King, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave # Ep-5, Burlington, VT 05401 Phone: 802-847-2884 | |
Dr. Mark Kenneth Plante, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, East Pavilion-level 5 Urology, Burlington, VT 05401 Phone: 802-847-2884 Fax: 802-847-6020 | |
John A Bisson, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 64 Colchester Ave, Burlington, VT 05401 Phone: 802-863-0107 Fax: 802-658-9292 | |
Richard T Grunert, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-4097 |