Derek Nathan Anderson, MD | |
454 Old Street Rd Ste 207, Peterborough, NH 03458-1253 | |
(603) 924-4664 | |
(603) 924-8653 |
Full Name | Derek Nathan Anderson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 454 Old Street Rd Ste 207, Peterborough, 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 |
---|---|---|---|
1255491635 | NPI | - | NPPES |
500682438 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD169675 (Oregon) | Secondary |
207Q00000X | Family Medicine | 36375 (Iowa) | Secondary |
207Q00000X | Family Medicine | 20947 (New Hampshire) | Primary |
Entity Name | Monadnock Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881676104 PECOS PAC ID: 7416933031 Enrollment ID: O20040625000075 |
Mailing Address | Practice Location Address |
---|---|
Derek Nathan Anderson, MD 454 Old Street Rd Ste 207, Peterborough, NH 03458-1200 Ph: (603) 924-4664 | Derek Nathan Anderson, MD 454 Old Street Rd Ste 207, Peterborough, NH 03458-1253 Ph: (603) 924-4664 |
Jennifer Ann Civitella, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 454 Old Street Rd, Suite 207, Peterborough, NH 03458 Phone: 603-924-4664 Fax: 603-924-8653 | |
Dr. Michelle A Urban, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 454 Old Street Rd, Suite 207, Peterborough, NH 03458 Phone: 603-924-4664 Fax: 603-924-8653 | |
Richard P Frechette, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 454 Old Street Rd, Suite 207, Peterborough, NH 03458 Phone: 603-924-4664 Fax: 603-924-8653 | |
Dr. Sara Luczkiewicz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 452 Old Street Rd, Peterborough, NH 03458 Phone: 603-588-4200 Fax: 603-588-4089 | |
Stephen Henry Buzzell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 452 Old Street Rd, Peterborough, NH 03458 Phone: 603-924-7191 Fax: 603-924-4644 | |
Elvin R Ramey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 452 Old Street Rd, Peterborough, NH 03458 Phone: 603-924-7191 |