Jeffrey S Wulfman, MD | |
74 Munsill Ave, Suite 100, Bristol, VT 05443-1032 | |
(802) 453-5028 | |
(802) 453-6105 |
Full Name | Jeffrey S Wulfman |
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Gender | Male |
Speciality | Family Medicine |
Location | 74 Munsill Ave, Bristol, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063401537 | NPI | - | NPPES |
OVN1864 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 042 0009739 (Vermont) | Primary |
Entity Name | Five-town Health Alliance, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871840843 PECOS PAC ID: 9638321342 Enrollment ID: O20121204000030 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey S Wulfman, MD 74 Munsill Ave, Suite 100, Bristol, VT 05443-1032 Ph: (802) 453-5028 | Jeffrey S Wulfman, MD 74 Munsill Ave, Suite 100, Bristol, VT 05443-1032 Ph: (802) 453-5028 |
Natasha Alexa Withers, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 61 Pine St Ste 400, Bristol, VT 05443 Phone: 802-453-7422 Fax: 802-453-4815 | |
Jennifer R Wisdom-behounek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Pine St Bldg 4, Bristol, VT 05443 Phone: 573-884-7733 | |
Brian D. Bates, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Pine St, Bristol, VT 05443 Phone: 802-453-5028 Fax: 802-453-6105 | |
William Harrison Porter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 61 Pine St Bldg 4, Bristol, VT 05443 Phone: 802-453-5028 | |
Dr. Charles Edward Clark, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 74 Munsill Ave, Suite 100, Bristol, VT 05443 Phone: 802-453-5028 Fax: 802-453-6105 | |
Renee Bratspis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 74 Munsill Ave Ste 100, Bristol, VT 05443 Phone: 802-453-5028 |