| Maxine Dudek, MD | |
|
130 Fisher Rd Unit 1, Berlin, VT 05602-8132 | |
| (802) 371-4316 | |
| Not Available |
| Full Name | Maxine Dudek |
|---|---|
| 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 |
|---|---|---|---|
| 1740740539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 042.0017061 (Vermont) | Primary |
| 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 |
| Entity Name | Central Vermont Medical Center Inc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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: Not Enrolled in Medicare 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 | |
Nicholas Phillips, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 130 Fisher Rd, Berlin, VT 05602 Phone: 802-371-4100 | |
Harris Kiva Strokoff, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 130 Fisher Rd, Floor 3, Berlin, VT 05602 Phone: 802-371-4316 Fax: 802-371-4579 |