Dr Suellen Tucker Balestra, MD is a
Pathology - Anatomic Pathology & Clinical Pathology physician based in Claremont, New Hampshire. Dr Suellen Tucker Balestra is licensed to practice in New Hampshire (license number 6628) and her current practice location is 243 Elm St, Claremont, New Hampshire. She can be reached at her office (for appointments etc.) via phone at
(603) 542-7771.
NPI number for Dr Suellen Tucker Balestra is 1295874493 and her current mailing address is 14 Sevens Rd, Lebanon, New Hampshire. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295874493.
Physician's Profile
| Full Name | Dr Suellen Tucker Balestra |
|---|
| Gender | Female |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 243 Elm St, Claremont, New Hampshire |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295874493
- Provider Enumeration Date: 02/05/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Suellen Tucker Balestra such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295874493 | NPI | - | NPPES |
| 40200340 | Medicaid | NH | |
| 0000932 | Other | VT | MEDICAID VT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 6628 (New Hampshire) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Suellen Tucker Balestra is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Suellen Tucker Balestra, MD
14 Sevens Rd,
Lebanon, NH 03766
Ph: (603) 448-6140 | Dr Suellen Tucker Balestra, MD
243 Elm St,
Claremont, NH 03743-4921
Ph: (603) 542-7771 |
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