Dale Collins Vidal, MD | |
127 Mascoma St, Lebanon, NH 03766-2661 | |
(603) 443-9572 | |
(603) 443-9521 |
Full Name | Dale Collins Vidal |
---|---|
Gender | Female |
Speciality | Plastic Surgery |
Location | 127 Mascoma St, 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 |
---|---|---|---|
1639198138 | NPI | - | NPPES |
30008405 | Medicaid | NH | |
0RE3751 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 9412 (New Hampshire) | Primary |
Entity Name | Alice Peck Day Memorial Hospital |
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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 |
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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 |
---|---|
Dale Collins Vidal, MD 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 Ph: (603) 448-3121 | Dale Collins Vidal, MD 127 Mascoma St, Lebanon, NH 03766-2661 Ph: (603) 443-9572 |
Dr. Gary Leland Freed Jr., M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Dhmc Plastic Surgery, Lebanon, NH 03756 Phone: 603-650-5148 Fax: 603-650-8456 | |
Carolyn Kerrigan, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5881 Fax: 603-650-0911 | |
Mitchell Andrew Stotland, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-8068 | |
John Francis Nigriny, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Dhmc - Department Of Plastic Surgery, Lebanon, NH 03756 Phone: 603-650-5148 Fax: 603-650-8456 | |
Dr. Abhishek Chatterjee, M.D., M.B.A. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1medical Center Dr, Lebanon, NH 03755 Phone: 603-650-5000 | |
Joseph H Shin, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Plastic & Reconstructive Surgery, Lebanon, NH 03756 Phone: 603-650-5148 |