Maxine Dudek, MD | |
130 Fisher Rd Unit 1, Berlin, VT 05602-8132 | |
(802) 371-4316 | |
Not Available |
Full Name | Maxine Dudek |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 130 Fisher Rd Unit 1, Berlin, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1740740539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 042.0017061 (Vermont) | Primary |
Entity Name | University Of Vermont Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047 |
Entity Name | Central Vermont Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023028784 PECOS PAC ID: 9335138817 Enrollment ID: O20051220000393 |
Entity Name | State Of Vermont |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043567977 PECOS PAC ID: 0446487011 Enrollment ID: O20131206000528 |
Mailing Address | Practice Location Address |
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Maxine Dudek, MD 30 Henry St, Burlington, VT 05401-3329 Ph: (413) 636-2319 | Maxine Dudek, MD 130 Fisher Rd Unit 1, Berlin, VT 05602-8132 Ph: (802) 371-4316 |
Peter M Thomashow, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 130 Fisher Rd, Central Vermont Medical Center, Berlin, VT 05602 Phone: 802-371-4316 Fax: 802-371-4579 | |
Jessica E O'neil, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 286 Hospital Loop, Berlin, VT 05602 Phone: 802-229-0591 Fax: 802-223-3667 | |
Dr. Ryosuke Kawatsuji, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 130 Fisher Rd, Central Vermont Medical Center, Berlin, VT 05602 Phone: 802-371-4100 | |
Dr. Justin R. Knapp, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 130 Fisher Rd, Berlin, VT 05602 Phone: 802-371-4316 Fax: 802-371-4579 | |
Kenneth Elliot Adler, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 130 Fisher Rd, Berlin, VT 05602 Phone: 802-371-4100 | |
Brian Joseph Rosen, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 130 Fisher Rd, Berlin, VT 05602 Phone: 802-371-4100 | |
Nicholas Phillips, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 130 Fisher Rd, Berlin, VT 05602 Phone: 802-371-4100 |