Christopher Mazur, MD | |
10 Alice Peck Day Dr, Lebanon, NH 03766-2694 | |
(603) 448-3121 | |
(603) 448-7462 |
Full Name | Christopher Mazur |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 10 Alice Peck Day Dr, Lebanon, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265429799 | NPI | - | NPPES |
00006469 | Other | VT | BCBS VT |
58000 | Other | NH | CIGNA |
80001430 | Medicaid | NH | |
0006469 | Medicaid | VT | |
0105549Y0NH02 | Other | NH | ANTHEM ER |
77P588 | Other | NH | MVP |
0105549Y0NH01 | Other | NH | ANTHEM ICC |
0554900 | Other | NH | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 7729 (New Hampshire) | Primary |
Entity Name | The New London Hospital Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831200583 PECOS PAC ID: 5294643623 Enrollment ID: O20040713000500 |
Entity Name | Alice Peck Day Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803495 PECOS PAC ID: 6103737531 Enrollment ID: O20040927000296 |
Entity Name | Alice Peck Day Memorial Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1003803495 PECOS PAC ID: 6103737531 Enrollment ID: O20061104000184 |
Mailing Address | Practice Location Address |
---|---|
Christopher Mazur, MD 10 Alice Peck Day Dr, Lebanon, NH 03766-2694 Ph: (603) 448-3121 | Christopher Mazur, MD 10 Alice Peck Day Dr, Lebanon, NH 03766-2694 Ph: (603) 448-3121 |
Katherine Little, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Dept. Of Emer. Med., Lebanon, NH 03756 Phone: 603-650-7254 | |
Douglas A Deaett, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Mascoma St, Lebanon, NH 03766 Phone: 603-448-3121 Fax: 603-448-7462 | |
Dr. Karen Michelle Custodio, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000 | |
Dr. Patricia L Lanter, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Dhmc - Dept Of Emergency Medicine, Lebanon, NH 03756 Phone: 603-650-7254 | |
Thomas W Trimarco, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Dhmc - Emergency Medicine, Lebanon, NH 03756 Phone: 603-650-7000 Fax: 603-650-4516 | |
Nancy Philips, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Drive, Dartmouth Hithcock Medical Center, Lebanon, NH 03756 Phone: 603-650-7254 | |
Jon Jordan Gray, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-7254 |