Ania has been a Family Nurse Practitioner since 2015. She has a Bachelor of Science in nutrition and Master of Science in Nursing/Family Nurse Practitioner. In addition to treating chronic conditions (diabetes, hypertension, COPD, etc) and offering preventive health, she incorporates integrative modalities for both pain management and in general practice. In her free time, she loves trail running, weight lifting, and playing music.

Education: The University of Vermont – BS in Nutrition The University of Vermont – MSN – Family Nurse Practitioner

This option is for integrative pain ONLY. No primary care/health or wellness benefits apply. This is great for those who only want integrative pain and do NOT want to become primary care patients.

Integrative Pain monthly option includes:

• Taylored integrative pain plan with handouts, education and recommendations in addition to in person office visits

*** Note: integrative pain office visits are subject to routine office visit charges through insurance

Alysha has been a Licensed Practical Nurse since 2012. She has an associate's degree in Applied Science and Nursing and will be testing for her RN in the spring. She plans to continue her education in the fall and get her bachelor's degree in Nursing. She enjoys caring for people of all ages and has experience in both family and Internal medicine. In her free time Alysha enjoys spending time with her family, exercising, photography, baking and listening to music.

She lives in North Ferrisburgh Vermont with her husband Scott, son Camron, daughter Allie and their dog, Lily.

Education:

North Country Community College- Associates degree in Applied Science and Nursing

This plan is best for those with a high deductible, high copay or no insurance plans. This monthly payment plan covers ALL the comprehensive care and services below with full personalized and direct access. WE DO NOT BILL INSURANCE.

See monthly pricing options here!

Note: Due to CMS rules, MEDICARE patients are unable to participate in this plan.

1. Yearly 60 minute comprehensive physical that includes:

• routine screening labs (cholesterol panel, metabolic panel, diabetes screen, blood count)

• cancer screening

• immunization counseling

• advanced directives

• disease prevention

• health and wellness coaching

• follow up visits to comprehensive physical

2. Portal and text communication follow-up to wellness visit​

3. Integrative Pain package, which includes:

• Initial pain intake/consult

• One monthly bodywork, biofeedback, nutrition or CBT session

• One monthly Integrative Dry Needle Acupuncture session

• More favorable pricing for all other integrative pain visits

This plan is best for those with low deductible insurance premiums. This monthly payment plan covers care and service below with personalized and direct access. All visits and services are billed to insurance and co-pays and deductibles still apply. (Note: Fee is waived for Medicaid patients.)

See montly pricing options here!

Every patient must become a monthly subscriber. Our practice is currently full. Please call or email us if you are interested in learning more about us or getting on our waitlist.

If you have an urgent after-hours concern that you believe cannot wait for routine business hours, we will be available by phone or portal to assist you. We are not available in person for routine needs or matters that can wait until normal business hours on the weekends or night. We are here to assist you if you can not wait and need reassurance, advice, etc. Laura and Ania are dedicated to your care and to a healthy, cultivated provider-patient relationship.

To add a new question go to app settings and press "Manage Questions" button.

Laura has been a family physician since 1999 when she graduated from Dartmouth Medical School and Tacoma Family Medicine Residency . She enjoys caring for the entire family and providing preventive care and chronic care for diabetes, high blood pressure, COPD, and heart disease. She balances work with her family life, raising three children with her husband, David Turner, who is a family physician in Shoreham Vermont. In her free time, she is trail running with her dogs or attending her children’s soccer, basketball or hockey games. Education:

Dartmouth College – BA in Biology & Education Harvard Graduate School of Education – M.Ed.

Dartmouth Medical School – MD

1. Yearly 60 minute comprehensive physical that includes:

• routine screening labs (cholesterol panel, metabolic panel, diabetes screen, blood count).

• cancer screening

• immunization counseling

• advanced directives

• disease prevention

• health and wellness coaching

• follow up visits to comprehensive physical

Portal and text communication follow-up to wellness visit

​

More favorable pricing for integrative pain visits

• Wholesale labs

• Select wholesale medications

• 24/7 connection to your pcp

• Telemedicine options/support

• Portal and text message communication

• Online scheduling (coming soon!)

• Longer appointment times, unhurried by healthcare insurance requirements

• Guaranteed next and same day appointments, made possible due to our small size

• Home visits, made possible due to our small size

***Because we are a smaller practice with patients investing in services beyond what healthcare insurance plans cover, we expect our patients to enjoy the above benefits of participating in a smaller patient panel practice, where our healthcare process is not dictated or limited by what healthcare insurance plan reimbursement reqirements (these are not private fee benefits, but benefits that accrue due to our small size and detachment from healthcare insurance requirements).

You can pay monthly, semi-annually or annually with automatic enrollment.

We have a secure payment management system so you enter your information once (bank account preferred, but we do accept credit cards) and select which automatic payment works best for you!

• Adult physical

• Well child visit

• Sports physical

• All office visits

• Diabetes

• Chronic are follow up and management

• Wholesale medications (see link to pricing here)

• Wholesale labs (see link to pricing here)

• PCP always accessible by text, portal, email

• Telemedicine

• Same and next day appointments

• Discounted pricing on integrative pain visits

• Travel medicine consult

• Depression/anxiety management

• Weight loss counseling

• Nutrition management

• Wellness planning and counseling

• Wound care

• Birth control initiation and management

• Preoperative Exams

• ECGs

• Home visits

Should you need to see a specialist, we will refer you to one that we trust to handle your specific case, keep all involved parties in the loop, and make sure that your patient record stays up to date.

• Wholesale labs

• Select wholesale medications

• 24/7 connection to your pcp

• Telemedicine options/support

• Portal and text message communication

• Online scheduling (coming soon!)

• Longer appointment times, unhurried by healthcare insurance plan requirements

• Guaranteed next and same day appointments, made possible due to our small size

• Home visits, made possible due to our small size

***Because we are a smaller practice with patients investing in services beyond what healthcare insurance plans cover, we expect our patients to enjoy the above benefits of participating in a smaller patient panel practice, where our healthcare process is not dictated or limited by what healthcare insurance plan reimbursement reqirements (these are not private fee benefits, but benefits that accrue due to our small size and detachment from healthcare insurance requirements).

24/7 access to PCP by portal, phone, text, email​

Wholesale lab prices (link to pricing here)

Discounted pricing on integrative pain visits ( link to pricing here)

Select wholesale medications (link to pricing here)

Telemedicine

• Wholesale labs

• Select wholesale medications

• 24/7 connection to your pcp

• Telemedicine options/support

• Portal and text message communication

• Online scheduling (coming soon!)

• Longer appointment times, unhurried by healthcare insurance plan requirements

• Guaranteed next and same day appointments, made possible due to our smalll size

• Home visits, made possible due to our small size

***Because we are a smaller practice with patients investing in services beyond what healthcare insurance plans cover, we expect our patients to enjoy the above benefits of participating in a smaller patient panel practice, where our healthcare process is not dictated or limited by what healthcare insurance plan reimbursement reqirements (these are not private fee benefits, but benefits that accrue due to our small size and detachment from healthcare insurance requirements).

• Full annual physical

• Annual screening labs: lipids, diabetes, liver, kidney

• Annual vitamin D level

• Annual ECG

• Discounted pricing on integrative pain visits ( see pricing here)

• Telemedicine

Your monthly fee covers:

1. Yearly 60 minute comprehensive routine physical exam, regardless of medical conditon or necessity, that includes:

• routine screening labs (cholesterol panel, metabolic panel, diabetes screen, blood count).

• cancer screening

• immunization counseling

• advanced directives

• disease prevention

• health and wellness coaching

• Follow up visits to comprehensive physical

2. Annual physical support portal and text communication

​

3. Preferred pricing for integrative (including pain management and wellness) visits

Because we are a smaller practice with patients investing in services beyond what healthcare insurance plans cover, we expect our patients to enjoy the following benefit of participating in a smaller patient panel practice, where our healthcare process is not dictated or limited by what healthcare insurance plan reimbursement reqirements (these are not private fee benefits, but benefits that accrue due to our small size and detachment from healthcare insurance requirements):

• Wholesale labs

• Select wholesale medications

• 24/7 connection with your pcp

• Telemedicine options/support

• Portal and text message communication (due to annual physical support plan)

• Online scheduling (coming soon!)

• Longer appointment times unhurried by healthcare insurance plan requirements

• Guaranteed next and same day appointments due to our smaller size

• Home visits made possible due to our small size

We are committed to your health and wellness, which is why we focus on preventive health in addition to treating chronic and acute illnesses. Your membership is equivalent to $1.82/day or $12.77/week, which is less than 1 cup of coffee per day.

Our goal is to have a long lasting relationship with our relationship with our patients. But we understand your needs may change. We do require members to sign for a at least a 3 month commitment.

You can pay with direct deposit monthly, semi-annually or annually. However if you move out of our geographic area, please contact us 30 days in advance in writing to cancel your membership. If you decide to cancel and have a balance of prepaid membership fees remaining, a pro-rated refund will be given to you based upon date of cancellation. If your membership lapses and you would like to renew your membership with us there is a re-initiation fee of $100.

• Cholesterol testing – up to 1 per year (or 2 per year for those treated for high cholesterol)

• Comphrehensive Metabolic panel - up to 1 per year

• Complete blood count - up to 1 per year

• Urinalysis

• Rapid test for Strep Throat

• Rapid test for Influenza

• Urine test for pregnancy (up to 2/year)

• Urine test for protein in diabetics (up to 1/year)

• Hemoglobin A1c for diabetics (up to 4/year)

• Electrocardiogram (EKG)

• Pulmonary Function Testing (PFT)

• Discounts on minor procedures (mole removal, skin biopsy)

• Wart treatment

• Removal of cerumen (ear wax)

• Pap Smear (wholesale lab fee)

* Any extra or added lab testing are at wholesale lab costs. See prices here!

Yes. Although your Health & Wellness membership does cover a full physical , with select labs and follow-up as needed (see details here), you still need insurance for routine, chronic and sick visits as well as emergency room visits, imaging, etc. We are credentialed with all major insurance plans as listed here.

No. Laura and Ania own Green Mountain Primary Care which is a private medical practice.

We do and will communicate with hospitals and specialists as necessary in order to provide the best continuity of care.

Porter Hospital employs hospitalists, MDs/NPs/PAs specializing in hospital medicine, to admit and care for patients. We are available to communicate with these professionals as needed if issues or concerns arise.

Also, we will continue to refer patients to Porter Medical Center for referrals to radiology (xray, mammogram, ultrasound, etc), specialists, emergency room, urgent care and other ancillary services.

We have worked closely with a professional who specializes in our type of practice to help frame and support the use of HSA, FSA or HRA funds for the private fee. That said, we strongly recommend you consult with your tax expert on this issue. Also, be advised that with respect to HRA and FSA funds use, an outside fiduciary must typically approve our private fees as eligible medical expenses and we cannot guarantee that fiduciaries will interpret our private fee structure the same way we do. We followed IRC Section 167(d) and IRS Publication 502 with respect to how our private fee servies were structured. Your plan fiduciary must comply with his or her own independent duty to interpret and follow these laws.

We offer telemedicine, portal, phone and text communication. We may advise you to see an acute care clinic for urgent needs while out of state, but we are available to consult and help guide you as needed. We can also coordinate presciption refills to pharmacies in Florida or another state you may be in for the winter.

We are available to consult with you by phone, text or telemedicine. We may advise you to be seen at an acute care facility in that area, but we are happy to help guide you through what ever the best option is.

Great question! In our view, the reason the US heathcare system's primary care model is failing to keep up with other country's outcomes is in part due to the failure of healthcare insurance plans (both public and private) to prioritize and reimburse for primary care guidance pre-condition, and, the failure to reimburse "pre-care" robustly.

Our model involves patients investing in a more connected care model that annually screens patients AND provides ongoing annual physical health education and care support toward meeting annual exam-based health goals. If you feel healthy, and we hope you do, our model is designed to identify and (when possible) defer or avoid illness.

We cannot implement such a model and remain dependent on healthcare insurance reimbursement, so we need and depend on all of our patients investing in this model--that allows us to provide the more extraordinary services that will make a difference in our patients' lives.

Given the prevalence of high-deductible plans, with even Medicare only covering 80% of care costs (or MediGap plans, with extra premiums, covering that gap), it is not only uncomfortable but also expensive to be ill. We want our patients invested in illness avoidance, early detection, and prevention. And we believe that over time, that can generate actual cost savings for patients . Our primary focus is to keep patients well and to avoid more expensive "medical" care if possible.

Yes! Your private direct fees pay for the annual routine physical exam and related health guidance and support communication services, along with certain specific integrative services. All of those services are, as framed, outside of any plan coverage. For most insurance plans, we are in-network and will bill medically necessary services to your insurance. (we currently participate with Medicare)

While we can always offer same or next-day visits to our members, we do require scheduling all visits beforehand. A quick phone call or portal messge to verify your appointment is usually all that is required.

However, we want to be clear that we are not a walk-in or urgent care clinic. Our goal is to have long lasting relationships with our patients.

We highly recommend the Porter Express Care (PEC) clinic at Porter Hospital. They are open 7 days per week and highly trained to assess and care for any urgent care needs.

We offer a wide variety of services from our primary care to integrative pain medicine.

Because we are committed to giving you the highest quality care, office visits range from 30-60 minutes. We strive to offer high quailty, unrushed health care.

Yes! All of our private fee services (the annual routine physical, annual physical-related patient education and care support, and certain specific integrative healthcare services) are all outside Medicare coverage. You must not submit to Medicare for the private fee services we deliver. But, we can and will also provide other medical services that Medicare covers, and we will bill Medicare for those other services (and collect any co-payments or deductibles as reqiured).

Also, as a Medicare eligible, you are entitled to a "Welcome To Medicare" physical, and the Annual Wellness Visit. Your private fees are not allocated to those services, and will be happy to provide you those Medicare-covered services and bill Medicare for those services (but neither of those services has the same features as our private fee annual physical exam and related annual-exam patient education and care support).

Finally, if you as a Medicare eligible, have two or more chronic conditions, you may qualify for chronic care management (CCM) services that we will be happy to provide you for no additional private fee charges--Medicare covers and reimburses for CCM and CCM is different than our private fee services.

You can choose any of the Health & Wellness or Integrative plans we have available! See here for more!

We recommend a MEET & GREET visit for all potential patients to be sure the practice is a good fit prior to joining. We will contact you if you are on the wait list when we have an opening and schedule this free, 30 minute visit to discuss your healthcare needs. It’s the only reasonable way to begin what we trust will be a long, productive, healthy relationship.