Martha Walker, P.A.
Individual provider Active NPI Medical Physician Assistant · Richford, VT
NPI 1780726232 · NPPES record last updated Dec 20, 2011
Key facts
- NPI
- 1780726232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 055-0030921 (VT)
- Practice address
- 44 Main St
Suite 200
Richford, VT 05476-1153 - Phone
- (802) 255-5500
- Fax
- (802) 255-5509
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 33
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwestern Medical Center Inc
American Current Care PA
Practice addresses (Care Compare)
133 Fairfield St
Saint Albans, VT 05478-1726
57 Fayette Dr
Suite 4
South Burlington, VT 05403-6964
Phone (802) 658-5758
654 Granger Rd
Suite 1
Barre, VT 05641-5543
Phone (802) 223-7499
Hospital & facility affiliations
- Northwestern Medical Center Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080806000037 | VT | Practitioner - Physician Assistant | 6204925597 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011732 | NY | MD | Physical Therapist |
| 055-0030921 | VT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Center Inc | Current |
Accepting new patients | |
| American Current Care P.a. | Current |
Accepting new patients | |
| American Current Care PA | Current |
Accepting new patients | |
| Northwestern Medical Center, Inc | Current |
Accepting new patients | |
| Fiddlehead Ledge LLC | Past |
Accepting new patients | |
| Northwestern Medical Center, Inc. | Past | Accepting new patients | |
| Northwestern Medical Center, Inc. | Past | Accepting new patients |
Locations
654 Granger Rd
Ste 1
Barre, VT 05641
Phone (802) 223-7499
927 Ethan Allen Hwy
Unit 2
Milton, VT 05468
Phone (802) 524-8911
133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227
260 Crest Rd
Ste 102
Saint Albans, VT 05478
Phone (802) 524-1064
3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554
260 Crest Rd
Ste 101
Saint Albans, VT 05478
Phone (802) 524-1223
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 011732 | NY | |
| Medical Physician Assistant | 363AM0700X | 055-0030921 | VT | Yes |
Addresses
Primary practice location
44 Main St
Suite 200
Richford, VT 05476-1153
Mailing address
44 Main St
Suite 200
Richford, VT 05476-1153
Phone (802) 255-5500
Other providers in Richford, VT
- The Richford Health Center Inc.
- The Richford Health Center Inc.
- The Richford Health Center, Inc.
- Phyllis Tiffany
- Town of Richford
- Peter Myles Woolhouse
All providers in Richford, VT · Medical Physician Assistant in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2011. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.