| Thomas F Broderick, DO | |
|
195 Industrial Pkwy, Nvrh Corner Medical, Lyndon, VT 05849 | |
| (802) 748-9501 | |
| Not Available |
| Full Name | Thomas F Broderick |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 45 Years |
| Location | 195 Industrial Pkwy, Lyndon, Vermont |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083646681 | NPI | - | NPPES |
| 3074951 | Medicaid | NH | |
| 0005681 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 7599 (New Hampshire) | Secondary |
| 207Q00000X | Family Medicine | 032-0000286 (Vermont) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeastern Vermont Regional Hospital | Saint johnsbury, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeastern Vermont Regional Hospital Inc | 3678481405 | 107 |
| Northeastern Vermont Regional Hospital Inc | 3678481405 | 107 |
| Entity Name | Northeastern Vermont Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659459428 PECOS PAC ID: 3678481405 Enrollment ID: O20080208000261 |
| Entity Name | Northeastern Vermont Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174566541 PECOS PAC ID: 3678481405 Enrollment ID: O20090511000378 |
| Entity Name | Northeastern Vermont Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871870899 PECOS PAC ID: 3678481405 Enrollment ID: O20120306000545 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas F Broderick, DO Po Box 905, St Johnsbury, VT 05819-0905 Ph: (802) 748-8141 | Thomas F Broderick, DO 195 Industrial Pkwy, Nvrh Corner Medical, Lyndon, VT 05849 Ph: (802) 748-9501 |
Lloyd L Thompson Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 195 Industrial Pkwy, Nvrh Corner Medical, Lyndon, VT 05849 Phone: 802-748-9501 | |
Dr. Joyce M Dobbertin, M.D.,D.C. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Nvrh Corner Medical, 195 Industrial Pkwy, Lyndon, VT 05849 Phone: 802-748-9501 | |
Susan L Gresser, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Nvrh Corner Medical, 195 Industrial Pkwy, Lyndon, VT 05819 Phone: 802-748-9501 | |
Brigitte France Dargis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 195 Industrial Parkway, Nvrh Corner Medical, Lyndon, VT 05849 Phone: 802-748-9501 Fax: 802-748-3420 |