Peter Harris, MD | |
82 Maple Street, Island Pond, VT 05846 | |
(802) 723-4300 | |
(802) 723-4544 |
Full Name | Peter Harris |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 82 Maple Street, Island Pond, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184734360 | NPI | - | NPPES |
8000217 | Other | VT | LADIES FIRST |
810628 | Other | VT | MVP |
3008260 | Medicaid | NH | |
110137555 | Other | VT | RAILROAD MEDICARE |
00028804 | Other | VT | BLUE SHIELD |
0009470 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0420007993 (Vermont) | Secondary |
207R00000X | Internal Medicine | 042.0007993 (Vermont) | Primary |
Entity Name | North Country Hospital & Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144251059 PECOS PAC ID: 9739073479 Enrollment ID: O20041104000642 |
Entity Name | Northern Counties Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649236225 PECOS PAC ID: 2860300936 Enrollment ID: O20041203000125 |
Mailing Address | Practice Location Address |
---|---|
Peter Harris, MD 165 Sherman Dr, St Johnsbury, VT 05819-9811 Ph: (802) 334-3504 | Peter Harris, MD 82 Maple Street, Island Pond, VT 05846 Ph: (802) 723-4300 |
Robert E Primeau, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 82 Maple, Island Pond, VT 05846 Phone: 802-723-4300 Fax: 802-723-4544 |