Dr Kenton Eugene Powell, MD | |
204 Dartmouth College Hwy, Lyme, NH 03768-3205 | |
(603) 650-1070 | |
Not Available |
Full Name | Dr Kenton Eugene Powell |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 17 Years |
Location | 204 Dartmouth College Hwy, Lyme, 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 |
---|---|---|---|
1790808517 | NPI | - | NPPES |
30209653 | Medicaid | NH | |
3077484 | Medicaid | NH | |
1017771 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 14566 (New Hampshire) | Primary |
207R00000X | Internal Medicine | 042-0012689 (Vermont) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Vna Of Vt & Nh | White river junction, VT | Home health agency |
Bayada Home Health Care | Williston, VT | Home health agency |
Mary Hitchcock Memorial Hospital | Lebanon, NH | Hospital |
Alice Peck Day Memorial Hospital | Lebanon, NH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mary Hitchcock Memorial Hospital | 4486561164 | 955 |
Entity Name | Mary Hitchcock Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258 |
Entity Name | Dartmouth-hitchcock Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenton Eugene Powell, MD 1 Medical Center Dr, Dhmc - Department Of Medicine, Lebanon, NH 03756-1000 Ph: (603) 653-9500 | Dr Kenton Eugene Powell, MD 204 Dartmouth College Hwy, Lyme, NH 03768-3205 Ph: (603) 650-1070 |
Dr. Claudiu-gily Ionescu-tajti, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 204 Dartmouth College Hwy, Lyme, NH 03768 Phone: 603-650-1070 | |
Dr. Sarah Fink Kokko, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 204 Dartmouth College Hwy, Lyme, NH 03768 Phone: 603-650-1088 |