Randolph R Knight, MD | |
5 S Main St Ste 302, White River Junction, VT 05001-7146 | |
(866) 679-0831 | |
(802) 332-3117 |
Full Name | Randolph R Knight |
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Gender | Male |
Speciality | Family Medicine |
Location | 5 S Main St Ste 302, White River Junction, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942320106 | NPI | - | NPPES |
ORE4593 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 042.0014564 (Vermont) | Secondary |
207Q00000X | Family Medicine | ME143693 (Florida) | Secondary |
207Q00000X | Family Medicine | 10087 (New Hampshire) | Primary |
Entity Name | Littleton Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144223702 PECOS PAC ID: 6901796556 Enrollment ID: O20040322000785 |
Mailing Address | Practice Location Address |
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Randolph R Knight, MD Po Box 1110, Watertown, MA 02471-1110 Ph: (866) 679-0831 | Randolph R Knight, MD 5 S Main St Ste 302, White River Junction, VT 05001-7146 Ph: (866) 679-0831 |
Dr. Carol Lee Blackwood, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 215 N Main St, Veterans Affairs Medical Center, White River Junction, VT 05009 Phone: 802-742-0415 | |
Dr. Michael L Lyons, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 331 Olcott Dr, Ste U3, White River Junction, VT 05001 Phone: 802-295-6132 Fax: 802-295-1358 | |
Dr. Angela M Toms, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 331 Olcott Dr, Ste U3, White River Junction, VT 05001 Phone: 802-295-6132 Fax: 802-295-1358 | |
Dr. David J Park, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 331 Olcott Dr, Ste U3, White River Junction, VT 05001 Phone: 802-295-6132 Fax: 802-295-1358 | |
Dr. Mark M Nunlist, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 331 Olcott Dr, Ste U3, White River Junction, VT 05001 Phone: 802-295-6132 Fax: 802-295-1358 | |
Jill I Blumberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 331 Olcott Dr, Suite U3, White River Junction, VT 05001 Phone: 802-295-6132 | |
Dr. Julie S Davis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 331 Olcott Dr, Ste U3, White River Junction, VT 05001 Phone: 802-295-6132 Fax: 802-295-1358 |