William Harrison Porter, MD | |
61 Pine St Bldg 4, Bristol, VT 05443-1043 | |
(802) 453-5028 | |
Not Available |
Full Name | William Harrison Porter |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 61 Pine St Bldg 4, 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 |
---|---|---|---|
1548246911 | NPI | - | NPPES |
48883 | Other | BLUE CROSS | |
OVN2197 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0420009973 (Vermont) | Primary |
Entity Name | Porter Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841210176 PECOS PAC ID: 1850365180 Enrollment ID: O20050919000736 |
Entity Name | Porter Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134457013 PECOS PAC ID: 1850365180 Enrollment ID: O20050919000862 |
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 |
---|---|
William Harrison Porter, MD 61 Pine St Bldg 4, Bristol, VT 05443-1043 Ph: (802) 453-5028 | William Harrison Porter, MD 61 Pine St Bldg 4, Bristol, VT 05443-1043 Ph: (802) 453-5028 |
Jeffrey S Wulfman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 74 Munsill Ave, Suite 100, Bristol, VT 05443 Phone: 802-453-5028 Fax: 802-453-6105 | |
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 | |
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 |