- Medicare Primary Care in St Johnsbury, VT

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is a medicare enrolled primary clinic (Clinic/center - Rural Health) in St Johnsbury, Vermont. The current practice location for is 714 Breezy Hill Road, St Johnsbury, Vermont. For appointments, you can reach them via phone at (805) 748-7500. The mailing address for is Po Box 905, St Johnsbury, Vermont and phone number is (802) 748-8141.

is licensed to practice in Vermont (license number 785). The clinic also participates in the medicare program and its NPI number is 1871870899. 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 (805) 748-7500.

Contact Information

714 Breezy Hill Road
St Johnsbury
VT 05819-0905
(805) 748-7500
(802) 745-1188

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location714 Breezy Hill Road, St Johnsbury, Vermont
Authorized Official Name and PositionRobert N Hersey (CFO)
Authorized Official Contact8027487520
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 905
St Johnsbury
VT 05819-0905

Ph: (802) 748-8141
714 Breezy Hill Road
St Johnsbury
VT 05819-0905

Ph: (805) 748-7500

NPI Details:

NPI Number1871870899
Provider Enumeration Date11/04/2011
Last Update Date02/11/2020

Medicare PECOS Information:

Medicare PECOS PAC ID3678481405
Medicare Enrollment IDO20120306000545

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871870899NPI-NPPES
3076793MedicaidNH
0473991MedicaidVT
1020004MedicaidVT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (Not Available))Secondary
261QR1300XClinic/center - Rural Health 785 (Vermont)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameElizabeth R Newman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962437418
PECOS PAC ID: 8426010919
Enrollment ID: I20041027000893
Provider NameThomas F Broderick
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083646681
PECOS PAC ID: 0042229064
Enrollment ID: I20060419000188
Provider NameJaime E Lipka
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578739140
PECOS PAC ID: 7416021647
Enrollment ID: I20080805000772
Provider NameJessica L Macleod
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336469337
PECOS PAC ID: 0244423804
Enrollment ID: I20101015000476
Provider NameIrene B Krechetoff
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417250614
PECOS PAC ID: 7214157510
Enrollment ID: I20141009000539
Provider NameTina K Heck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477958254
PECOS PAC ID: 4385967330
Enrollment ID: I20141223000816
Provider NameJoyce Vitale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154397206
PECOS PAC ID: 5698796993
Enrollment ID: I20160727000631
Provider NameThomas A Myrter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528262722
PECOS PAC ID: 4587945951
Enrollment ID: I20171226001256

Reviews and Comments


Clinic/Center in St Johnsbury, VT


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Medicare: Medicare Enrolled
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Phone: 802-695-2512    Fax: 802-695-1303

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Practice Location: 97 Sherman Drive, St Johnsbury, VT 05819
Phone: 802-748-5131    Fax: 802-748-4237

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Practice Location: 1 Eastern Ave, St Johnsbury, VT 05819
Phone: 802-748-9405    

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Practice Location: 185 Sherman Drive, Suite 1, St Johnsbury, VT 05819
Phone: 802-748-5401    Fax: 802-748-5094
David S Brody, Md
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Medicare: Not Enrolled in Medicare
Practice Location: 1290 Hospital Dr, Suite 2, St Johnsbury, VT 05819
Phone: 802-748-2123    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.