Jonathan Benjamin Wilfong, MD | |
353 Blair Park Rd, Williston, VT 05495-7530 | |
(802) 847-1470 | |
(802) 847-7135 |
Full Name | Jonathan Benjamin Wilfong |
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Gender | Male |
Speciality | Internal Medicine |
Location | 353 Blair Park Rd, Williston, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780927376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 042-0014024 (Vermont) | Primary |
207R00000X | Internal Medicine | 266357 (Massachusetts) | Secondary |
Entity Name | University Of Vermont Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Benjamin Wilfong, MD 111 Colchester Ave, Burlington, VT 05401-1473 Ph: (802) 847-0000 | Jonathan Benjamin Wilfong, MD 353 Blair Park Rd, Williston, VT 05495-7530 Ph: (802) 847-1470 |
Dr. Lucy Miller, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1470 | |
Dr. Dennis Armand Plante, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1470 Fax: 802-847-7135 | |
Dr. Marvin Klikunas, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1470 Fax: 802-847-7135 | |
Owen David Maguire, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1470 | |
Anne E Brena, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1470 | |
Alexandra L Messerli, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1470 Fax: 802-847-7135 |