Karyn Marie Patno, MD | |
97 Sherman Dr, St Johnsbury Pediatrics, St Johnsbury, VT 05819 | |
(802) 748-5131 | |
(802) 748-4237 |
Full Name | Karyn Marie Patno |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 97 Sherman Dr, St Johnsbury, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710914809 | NPI | - | NPPES |
MD12441 | Other | RI | LICENSE |
30005904 | Medicaid | NH | |
0VN0386 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0420007263 (Vermont) | Primary |
208000000X | Pediatrics | 10506 (New Hampshire) | Secondary |
208000000X | Pediatrics | MD12441 (Rhode Island) | Secondary |
Entity Name | University Of Vermont Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047 |
Mailing Address | Practice Location Address |
---|---|
Karyn Marie Patno, MD 97 Sherman Drive, St Johnsbury, VT 05819 Ph: (802) 748-5131 | Karyn Marie Patno, MD 97 Sherman Dr, St Johnsbury Pediatrics, St Johnsbury, VT 05819 Ph: (802) 748-5131 |
Dr. Elaine V Stasny, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 97 Sherman Dr, St Johnsbury Pediatrics, St Johnsbury, VT 05819 Phone: 802-748-5131 | |
Dr. Joshua David Kantrowitz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 97 Sherman Dr, Nvrh St. Johnsbury Pediatrics, St Johnsbury, VT 05819 Phone: 802-748-5131 Fax: 802-748-4237 |