<unavail> in St Johnsbury, VT - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in St Johnsbury, Vermont. The current practice location for is 185 Sherman Dr, St Johnsbury, Vermont. For appointments, you can reach them via phone at (802) 695-2512. The mailing address for is 165 Sherman Drive, St Johnsbury, Vermont and phone number is (802) 748-9405.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1295852549. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (802) 695-2512.

Contact Information


	185 Sherman Dr St Johnsbury VT 05819-9811
	(802) 695-2512
	(802) 695-1303

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	185 Sherman Dr, St Johnsbury, Vermont
Authorized Official Name and Position	Michael Costa (EXECUTIVE DIRECTOR/CEO)
Authorized Official Contact	8027489405
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
165 Sherman Drive St Johnsbury VT 05819 Ph: (802) 748-9405	185 Sherman Dr St Johnsbury VT 05819-9811 Ph: (802) 695-2512

NPI Details:

NPI Number	1295852549
Provider Enumeration Date	03/23/2007
Last Update Date	06/11/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	2860300936
Medicare Enrollment ID	O20100601000677

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295852549	NPI	-	NPPES
471801	Other	VT	MEDICARE PROVIDER NUMBER
0473807	Medicaid	VT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
261QH0100X	Clinic/center - Health Service	(* (Not Available))	Secondary
291U00000X	Clinical Medical Laboratory	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in St Johnsbury, VT

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 97 Sherman Drive, St Johnsbury, VT 05819 Phone: 802-748-5131 Fax: 802-748-4237
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Eastern Ave, St Johnsbury, VT 05819 Phone: 802-748-9405
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 185 Sherman Drive, Suite 1, St Johnsbury, VT 05819 Phone: 802-748-5401 Fax: 802-748-5094
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 714 Breezy Hill Road, St Johnsbury, VT 05819 Phone: 805-748-7500 Fax: 802-745-1188
David S Brody, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1290 Hospital Dr, Suite 2, St Johnsbury, VT 05819 Phone: 802-748-2123

- Medicare Primary Care in St Johnsbury, VT