Joseph G Theriault, MD | |
30 W Main St, Richmond, VT 05477-4479 | |
(802) 434-4123 | |
(802) 434-3130 |
Full Name | Joseph G Theriault |
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Gender | Male |
Speciality | Family Medicine |
Location | 30 W Main St, Richmond, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528078896 | NPI | - | NPPES |
1008108 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0420010278 (Vermont) | Primary |
Entity Name | Richmond Family Medicine Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851698112 PECOS PAC ID: 7113199480 Enrollment ID: O20111010000270 |
Mailing Address | Practice Location Address |
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Joseph G Theriault, MD 30 W Main St, Richmond, VT 05477-4479 Ph: (802) 434-4123 | Joseph G Theriault, MD 30 W Main St, Richmond, VT 05477-4479 Ph: (802) 434-4123 |
Dr. Terence Dwight Naumann, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 127 Tilden Ave, Richmond, VT 05477 Phone: 802-434-5006 | |
Dr. Daniel Millett Goodyear Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 West Main Street, Richmond, VT 05477 Phone: 802-434-4123 | |
Dr. Robert Campbell Areson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 W Main St, Richmond, VT 05477 Phone: 802-434-4123 Fax: 802-434-3130 |