David S Fagan, MD | |
101 Boulder Point Dr, Suite 1, Plymouth, NH 03264-3170 | |
(603) 536-4000 | |
(603) 536-4001 |
Full Name | David S Fagan |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 35 Years |
Location | 101 Boulder Point Dr, Plymouth, 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 |
---|---|---|---|
1841220423 | NPI | - | NPPES |
11P018 | Other | VT | MVP |
FAGA18669 | Other | VT | VT BC BS |
137310 | Other | PA | CIGNA SCRANTON |
ANTHEM | Other | NH | BLUE CROSS BLUE SHIELD |
110095743 | Other | RRMCR | |
2165 | Medicaid | VT | |
80002165 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | NH8707 (New Hampshire) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pemi Baker Community Health | Plymouth, NH | Home health agency |
Speare Memorial Hospital | Plymouth, NH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mid-state Health Center | 1951363563 | 29 |
Entity Name | Mid-state Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811156409 PECOS PAC ID: 1951363563 Enrollment ID: O20041027000215 |
Mailing Address | Practice Location Address |
---|---|
David S Fagan, MD 101 Boulder Point Dr, Suite 1, Plymouth, NH 03264-3170 Ph: (603) 536-4000 | David S Fagan, MD 101 Boulder Point Dr, Suite 1, Plymouth, NH 03264-3170 Ph: (603) 536-4000 |
Frederick S Kelsey, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Boulder Point Dr, Suite 1, Plymouth, NH 03264 Phone: 603-536-4000 Fax: 603-536-4001 | |
Dr. Linda M Crawford, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 7 Artisan Ln, Plymouth, NH 03264 Phone: 603-536-5665 | |
Dana A Merrithew, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 103 Boulder Point Drive, Plymouth, NH 03264 Phone: 603-536-1881 Fax: 603-238-2198 | |
Dr. John J Jehl, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 16 Hospital Road, Speare Hospitalist Program, Plymouth, NH 03264 Phone: 603-536-1120 Fax: 603-536-4828 | |
Alexandria Sarah Raifsnider, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19 Highland Ave, Plymouth, NH 03264 Phone: 603-393-1130 |