| Michael J Kiernan, MD | |
| 
					115 Porter Dr, Porter Hospital, Middlebury, VT 05753  | |
| (802) 388-4001 | |
| (802) 388-5612 | 
| Full Name | Michael J Kiernan | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 115 Porter Dr, 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 | 
|---|---|---|---|
| 1295839454 | NPI | - | NPPES | 
| OVN0886 | Medicaid | VT | |
| 19689 | Other | VT | BCBS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0420008897 (Vermont) | Primary | 
| Entity Name | Porter Hospital Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134457013 PECOS PAC ID: 1850365180 Enrollment ID: O20050919000862  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michael J Kiernan, MD 115 Porter Dr, C/o Susan Spitzner Finance Dept, Middlebury, VT 05753 Ph: (802) 388-5607  | Michael J Kiernan, MD 115 Porter Dr, Porter Hospital, Middlebury, VT 05753 Ph: (802) 388-4001  | 
Jessica H Wagener, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 Phone: 802-388-4001 Fax: 802-388-5612  | |
Robert D Pitts, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 115 Porter Dr, Porter Hospital, Middlebury, VT 05753 Phone: 802-388-4001 Fax: 802-388-5612  | |
Amanda S. Young, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 115 Porter Drive, Middlebury, VT 05753 Phone: 802-388-5607 Fax: 802-388-5654  | |
Glen R Lovejoy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 Phone: 802-388-4001 Fax: 802-388-5612  | |
William J Nowlan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 Phone: 802-388-4001 Fax: 802-388-5612  | |
Fred W Kniffin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 Phone: 802-388-4001 Fax: 802-388-5612  | |
Robert Rene Gosselin,  Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6a Maple St, Middlebury, VT 05753 Phone: 724-991-3254  |