Mark Jewett (NPI# 1518072040, PAC ID# 0345434007) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1518072040 |
| PAC ID by PECOS | 0345434007 |
| Professional Enrollment ID | I20101027000698 |
| Full Name | Mark Jewett |
| Organization Legal Name | GIFFORD HEALTH CARE INC |
| Address |
235 S Main St Rochester VT 05767-9683 |
| Phone Number | 8027673704 |
| Gender | M |
| Graduation Year | 1973 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2668624982 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 471301 | GIFFORD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 44 S Main St, Randolph, VT 05060-1381 | 8027284441 | GIFFORD MEDICAL CENTER INC |
| 235 S Main St, Rochester, VT 05767-9683 | 8027673704 | GIFFORD HEALTH CARE INC |
| Organization Legal Name | GIFFORD HEALTH CARE INC |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Barber | Family Medicine | Gifford Health Care Inc | 356 Vt Rte, Suite 110, Chelsea, VT 05038-8993 |
| Kenneth G Borie | Family Medicine | Gifford Health Care Inc | 1823 Vt Rte, Suite 107, Bethel, VT 05032-9107 |
| Peter M Thomashow | Psychiatry | Gifford Health Care Inc | 44 S Main St, Randolph, VT 05060-1381 |
| Mary Labrecque | Nurse Practitioner | Gifford Health Care Inc | 44 S Main St, Randolph, VT 05060-1381 |
| Gretchen Kidder | Nurse Practitioner | Gifford Health Care Inc | 44 S Main St, Randolph, VT 05060-1381 |
| James R Tautfest | Certified Clinical Nurse Specialist (cns) | Gifford Health Care Inc | 44 S Main St, Randolph, VT 05060-1381 |
| Rachel Coombs | Family Medicine | Gifford Health Care Inc | 1823 Vt Rte, Suite 107, Bethel, VT 05032-9107 |
| Erwin Lange | Emergency Medicine | Gifford Health Care Inc | 44 S Main St, Randolph, VT 05060-1381 |
| Mark G Seymour | Family Medicine | Gifford Health Care Inc | 1823 Vt Rte, Suite 107, Bethel, VT 05032-9107 |
| Marcus H Coxon | Family Medicine | Gifford Health Care Inc | 44 S Main St, Randolph, VT 05060-1381 |
| Street Address |
235 S MAIN ST |
| City | ROCHESTER |
| State | VT |
| Zip | 05767-9683 |
| City | ROCHESTER |
| Zip Code | 05767 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ROCHESTER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mark Jewett.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.