Dr Chandler W Marietta, MD | |
85 Spring Street, Ent Associates Of New Hampshire, Laconia, NH 03246-3113 | |
(603) 524-7402 | |
(603) 524-0945 |
Full Name | Dr Chandler W Marietta |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 20 Years |
Location | 85 Spring Street, Laconia, 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 |
---|---|---|---|
1568477982 | NPI | - | NPPES |
15543 | Other | NH | LICENSE |
3077638 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | T0557 (New Hampshire) | Secondary |
207Y00000X | Otolaryngology | 104228 (Minnesota) | Secondary |
207Y00000X | Otolaryngology | 15543 (New Hampshire) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Concord Hospital | Concord, NH | Hospital |
Lakes Region General Hospital | Laconia, NH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Concord Hospital Inc | 6103721790 | 488 |
Concord Hospital-laconia | 7012326259 | 207 |
Entity Name | Lrghealthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700976032 PECOS PAC ID: 8820908189 Enrollment ID: O20040303000982 |
Entity Name | Concord Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194778571 PECOS PAC ID: 6103721790 Enrollment ID: O20040405000916 |
Entity Name | Concord Hospital-laconia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053993741 PECOS PAC ID: 7012326259 Enrollment ID: O20210429001355 |
Mailing Address | Practice Location Address |
---|---|
Dr Chandler W Marietta, MD 85 Spring St, Laconia, NH 03246-3113 Ph: (603) 524-7402 | Dr Chandler W Marietta, MD 85 Spring Street, Ent Associates Of New Hampshire, Laconia, NH 03246-3113 Ph: (603) 524-7402 |
Dr. Carly Jiganti Schrage, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 85 Spring St, Laconia, NH 03246 Phone: 603-524-7402 Fax: 603-227-7596 | |
Dr. Jason Rafaele Mangiardi, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 85 Spring St, Laconia, NH 03246 Phone: 603-524-7402 | |
Dr. Patrick Ryan Stevens, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 85 Spring St, Laconia, NH 03246 Phone: 603-524-7402 Fax: 603-524-0945 |