Theodore L Johnson, MD in Bennington, VT - Pediatrics

Theodore L Johnson, MD is a Pediatrics physician based in Bennington, Vermont. Theodore L Johnson is licensed to practice in Vermont (license number 0420006640) and his current practice location is 194 North Street, Bennington, Vermont. He can be reached at his office (for appointments etc.) via phone at (802) 442-2264.

NPI number for Theodore L Johnson is 1831172485 and his current mailing address is 194 North Street, Bennington, Vermont. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831172485.

Contact Information

	Theodore L Johnson, MD
	194 North Street, Bennington, VT 05201
	(802) 442-2264
	(802) 442-2337

Physician's Profile

Full Name	Theodore L Johnson
Gender	Male
Speciality	Pediatrics
Location	194 North Street, Bennington, Vermont
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1831172485
Provider Enumeration Date: 11/28/2005
Last Update Date: 10/03/2011

Medical Identifiers

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

Identifier	Type	State	Issuer
1831172485	NPI	-	NPPES
0005309	Medicaid	VT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0420006640 (Vermont)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore L Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Theodore L Johnson, MD 194 North Street, Bennington, VT 05201 Ph: (802) 442-2264	Theodore L Johnson, MD 194 North Street, Bennington, VT 05201 Ph: (802) 442-2264

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Pediatrics Doctors in Bennington, VT

Jaclyn D Lozier, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 140 Hospital Dr Ste 210, Bennington, VT 05201 Phone: 802-447-3930 Fax: 802-447-8539
Martin R Luloff, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 140 Hospital Dr, Suite 207, Bennington, VT 05201 Phone: 802-447-3930 Fax: 802-447-8539
Judy Kay Orton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Main St, Suite 1, Bennington, VT 05201 Phone: 802-442-6057 Fax: 802-447-1348
Dr. Meghan Gunn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 140 Hospital Dr Ste 210, Bennington, VT 05201 Phone: 802-447-3930

Theodore L Johnson, MD - Pediatrics in Bennington, VT