| Dedra M Flynn, MD | |
|
1330 Exchange St, Suite 201, Middlebury, VT 05753-4464 | |
| (802) 388-7959 | |
| (802) 388-8136 |
| Full Name | Dedra M Flynn |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1330 Exchange St, Middlebury, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598754012 | NPI | - | NPPES |
| 02681818 | Medicaid | NY | |
| 1011760 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0420010996 (Vermont) | Primary |
| Entity Name | Albany Medical College |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
| Entity Name | Chenango Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770593956 PECOS PAC ID: 7517853633 Enrollment ID: O20040225000911 |
| Entity Name | Saratoga Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033371166 PECOS PAC ID: 6406740273 Enrollment ID: O20040402000837 |
| Entity Name | St. Mary's Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518926401 PECOS PAC ID: 7618960709 Enrollment ID: O20040405001628 |
| Entity Name | Albany Medical College |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
| Mailing Address | Practice Location Address |
|---|---|
| Dedra M Flynn, MD 104 Porter Dr, Middlebury, VT 05753-8527 Ph: (802) 388-8808 | Dedra M Flynn, MD 1330 Exchange St, Suite 201, Middlebury, VT 05753-4464 Ph: (802) 388-7959 |
Laura Murphy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1330 Exchange St Ste 201, Middlebury, VT 05753 Phone: 802-388-7959 | |
Francisco Jaime Corbalan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1330 Exchange St, Suite 201, Middlebury, VT 05753 Phone: 802-388-7959 | |
Dr. Patrice Peterson Colander, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44 Collins Dr, Suite 202, Middlebury, VT 05753 Phone: 802-388-1338 Fax: 802-388-8244 | |
Dr. Tawnya Kiernan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44 Collins Dr, Suite 202, Middlebury, VT 05753 Phone: 802-388-1338 Fax: 802-388-8244 | |
Breena W Holmes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 110 Porter Dr, Middlebury, VT 05753 Phone: 802-388-7959 | |
Dr. Kate Helen Mcintosh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44 Collins Dr, Suite 202, Middlebury, VT 05753 Phone: 802-388-1338 Fax: 802-388-8244 | |
Michael David Seaton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1330 Exchange St, Middlebury Pediatric And Adolescent Medicine, Middlebury, VT 05753 Phone: 802-388-7959 |