Melanie Lawrence, M.D.
Individual provider Active NPI Family Medicine Physician · Newbury, VT
NPI 1679515613 · NPPES record last updated Oct 26, 2020
Key facts
- NPI
- 1679515613
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0420010637 (VT)
- Practice address
- 4628 Main St
Newbury, VT 05051-4628 - Phone
- (802) 866-3010
- Fax
- (802) 866-3012
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221115002307 | ME | Practitioner - Family Practice | 2769400886 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420010637 | VT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Rivers Health Care, Inc. | Current |
Accepting new patients | |
| Clearchoicemd Primary Care PLLC | Family Medicine | Past | Accepting new patients |
| Convenientmd LLC | Past | Accepting new patients | |
| Planned Parenthood of Northern New England, Inc | Past |
Accepting new patients | |
| Cottage Hospital | Past | Accepting new patients | |
| Little Rivers Health Care, Inc. | Family Medicine | Past |
Accepting new patients |
Locations
4628 Main St S
Newbury, VT 05051
Phone (802) 866-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0420010637 | VT | Yes |
Addresses
Primary practice location
4628 Main St
Newbury, VT 05051-4628
Mailing address
5449 Main St S
Newbury, VT 05051-9773
Phone (802) 280-5885
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009948 | Medicaid | VT | |
| P00085304 | Other | VT | RAIL ROAD MEDICARE |
Other providers in Newbury, VT
- Susan Hanewald
- Allison Jean Line-Andrews
- Little Rivers Health Care, Inc.
- Little Rivers Health Care, Inc.
- Melaine C Lawrence MD
- Oxbow Senior Independence Program, Inc.
All providers in Newbury, VT · Family Medicine Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.