Tina Marie D Amato (NPI# 1902957020, PAC ID# 9931292216) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1902957020 |
| PAC ID by PECOS | 9931292216 |
| Professional Enrollment ID | I20070831000260 |
| Full Name | Tina Marie D Amato |
| Organization Legal Name | EVERGREEN FAMILY HEALTH PARTNERS |
| Address |
28 Park Ave Williston VT 05495-9701 |
| Phone Number | 8028781008 |
| Gender | F |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1153402888 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 470003 | UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE |
| 470001 | CENTRAL VERMONT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 28 Park Ave, Williston, VT 05495-9701 | 8028781008 | EVERGREEN FAMILY HEALTH PARTNERS |
| Organization Legal Name | EVERGREEN FAMILY HEALTH PARTNERS |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annegret Schmitt-johnson | Nurse Practitioner | Evergreen Family Health Partners | 28 Park Ave, Williston, VT 05495-9701 |
| Andrea Regan | Family Medicine | Evergreen Family Health Partners | 527 Ferry Rd, Charlotte, VT 05445-9555 |
| Diane C Rippa | Family Medicine | Evergreen Family Health Partners | 8 Essex Way, 201 Dba Alderbrook Family Health, Essex Junction, VT 05452-3422 |
| Rebecca L Joyce | Family Medicine | Evergreen Family Health Partners | 28 Park Ave, Williston, VT 05495-9701 |
| Paul Reiss | Family Medicine | Evergreen Family Health Partners | 28 Park Ave, Williston, VT 05495-9701 |
| Danielle Beaudoin | Nurse Practitioner | Evergreen Family Health Partners | 28 Park Ave, Williston, VT 05495-9701 |
| Michael Craig Johnson | Family Medicine | Evergreen Family Health Partners | 28 Park Ave, Williston, VT 05495-9701 |
| Lucy Vanhollebeke | Nurse Practitioner | Evergreen Family Health Partners | 28 Park Ave, Williston, VT 05495-9701 |
| Matthew J Salter | Physician Assistant | Evergreen Family Health Partners | 28 Park Ave, Williston, VT 05495-9701 |
| Danielle M Jasinski | Physician Assistant | Evergreen Family Health Partners | 28 Park Ave, Williston, VT 05495-9701 |
| Street Address |
28 PARK AVE |
| City | WILLISTON |
| State | VT |
| Zip | 05495-9701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annegret Schmitt-johnson | Nurse Practitioner | Evergreen Family Health Partners | 28 Park Ave, Williston, VT 05495-9701 |
| Rebecca L Joyce | Family Medicine | Evergreen Family Health Partners | 28 Park Ave, Williston, VT 05495-9701 |
| Paul Reiss | Family Medicine | Evergreen Family Health Partners | 28 Park Ave, Williston, VT 05495-9701 |
| Danielle Beaudoin | Nurse Practitioner | Evergreen Family Health Partners | 28 Park Ave, Williston, VT 05495-9701 |
| Michael Craig Johnson | Family Medicine | Evergreen Family Health Partners | 28 Park Ave, Williston, VT 05495-9701 |
| Lucy Vanhollebeke | Nurse Practitioner | Evergreen Family Health Partners | 28 Park Ave, Williston, VT 05495-9701 |
| Matthew J Salter | Physician Assistant | Evergreen Family Health Partners | 28 Park Ave, Williston, VT 05495-9701 |
| Danielle M Jasinski | Physician Assistant | Evergreen Family Health Partners | 28 Park Ave, Williston, VT 05495-9701 |
| Elizabeth Kathryn Loscalzo | Physician Assistant | Evergreen Family Health Partners | 28 Park Ave, Williston, VT 05495-9701 |
| Jan Ferris | Family Medicine | Evergreen Family Health Partners | 28 Park Ave, Williston, VT 05495-9701 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimlee D. Butterfield | Clinical Social Worker | 403 White Birch Lane, Williston, VT 05495 | |
| Thomas M Barritt | Clinical Social Worker | 183 Talcott Rd, Suite 206, Williston, VT 05495-2075 | |
| Susan Lillich | Psychologist, Clinical | 183 Talcott Rd, Suite 206, Williston, VT 05495-2075 | |
| Samantha B Barr | Psychologist, Clinical | 183 Talcott Rd, Suite 206, Williston, VT 05495-2075 | |
| Lori D Soule | Clinical Social Worker | 183 Talcott Rd, Suite 206, Williston, VT 05495-2075 | |
| Jessica J Rodd | Clinical Social Worker | 183 Talcott Rd, Suite 206, Williston, VT 05495-2075 | |
| Lillian M Borek | Clinical Social Worker | 183 Talcott Rd, Suite 206, Williston, VT 05495-2075 | |
| Daniel Preston Ellis | Physical Therapy | Physical Therapy Center of Vermont LLC | 115 Wellness Dr, Williston, VT 05495-2088 |
| Zafir G Bludevich | Physical Therapy | Physical Therapy Center of Vermont LLC | 115 Wellness Dr, Williston, VT 05495-2088 |
| Nicole W Davignon | Physical Therapy | Physical Therapy Center of Vermont LLC | 115 Wellness Dr, Williston, VT 05495-2088 |
| Find all physicians in zip 05495 | |||
| City | WILLISTON |
| Zip Code | 05495 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WILLISTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tina Marie D Amato.
| 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.