Constantine P Brocoum, MD | |
2 1/2 Beacon St, Concord, NH 03301-4447 | |
(603) 228-1521 | |
(603) 225-2510 |
Full Name | Constantine P Brocoum |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 34 Years |
Location | 2 1/2 Beacon St, Concord, New Hampshire |
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 |
---|---|---|---|
1528031317 | NPI | - | NPPES |
30009599 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 9614 (New Hampshire) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Concord Hospital | Concord, NH | Hospital |
Lakes Region General Hospital | Laconia, NH | Hospital |
Franklin Regional Hospital | Franklin, NH | Hospital |
Mary Hitchcock Memorial Hospital | Lebanon, NH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Concord Imaging Center | 2466448030 | 18 |
X-ray Professional Association | 3375539927 | 59 |
Entity Name | X-ray Professional Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790758449 PECOS PAC ID: 3375539927 Enrollment ID: O20040421000516 |
Entity Name | Concord Imaging Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700859451 PECOS PAC ID: 2466448030 Enrollment ID: O20040421000655 |
Mailing Address | Practice Location Address |
---|---|
Constantine P Brocoum, MD 2 1/2 Beacon St, Concord, NH 03301-4447 Ph: (603) 228-1521 | Constantine P Brocoum, MD 2 1/2 Beacon St, Concord, NH 03301-4447 Ph: (603) 228-1521 |
Matthew H Dimasi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Pleasant St, Concord, NH 03301 Phone: 603-227-7000 | |
Alexander Stetsyuk, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 248 Pleasant St, Concord, NH 03301 Phone: 603-228-1521 Fax: 603-225-2510 | |
Herlen Alencar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 248 Pleasant St, Concord, NH 03301 Phone: 603-228-1521 | |
Gerard V Smith, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2 1/2 Beacon St, Concord, NH 03301 Phone: 603-228-1521 Fax: 603-225-2510 | |
Ashley Nicole Wood, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Pleasant St, Concord, NH 03301 Phone: 603-228-1521 | |
Benjamin Daniel Chan, MD Radiology Medicare: Medicare Enrolled Practice Location: 2 1/2 Beacon St Ste 199, Concord, NH 03301 Phone: 603-228-1521 | |
Dr. Bryan Thomas Suchecki, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Pleasant St, Concord, NH 03301 Phone: 603-228-1521 Fax: 603-225-2510 |