Edward P Dalton, MD | |
Elliot Breast Health Center, 275 Mammoth Road, Suite 1, Manchester, NH 03109 | |
(603) 668-3067 | |
(603) 668-0164 |
Full Name | Edward P Dalton |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 54 Years |
Location | Elliot Breast Health Center, Manchester, 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 |
---|---|---|---|
1225004005 | NPI | - | NPPES |
802241 | Other | NH | HPHC PIN |
2090 | Other | NH | CIGNA PIN |
B86105 | Other | NH | ANTHEM REFERRING UPIN |
0104175Y0NH01 | Other | NH | ANTHEM ACES # |
2794202 | Other | NH | AETNA PIN |
40204175 | Medicaid | NH | |
723004 | Other | NH | TUFTS PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 5738 (New Hampshire) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Elliot Hospital | Manchester, NH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elliot Professional Services | 6103727920 | 314 |
Entity Name | Elliot Professional Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285627935 PECOS PAC ID: 6103727920 Enrollment ID: O20040115000634 |
Mailing Address | Practice Location Address |
---|---|
Edward P Dalton, MD Elliot Breast Health Center, 275 Mammoth Road, Suite 1, Manchester, NH 03109 Ph: (603) 668-3067 | Edward P Dalton, MD Elliot Breast Health Center, 275 Mammoth Road, Suite 1, Manchester, NH 03109 Ph: (603) 668-3067 |
Dr. Jeffrey Robert Harnsberger, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Hitchcock Way, Manchester, NH 03104 Phone: 603-695-2840 Fax: 603-695-2985 | |
Elena K Foster, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 185 Queen City Ave, Manchester, NH 03101 Phone: 603-627-1102 Fax: 603-647-5524 | |
Elizabeth Sailhamer Soukup, M.D., M.M.SC. Surgery Medicare: Medicare Enrolled Practice Location: 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-8393 Fax: 603-663-3493 | |
Jessica Niewodowski, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 185 Queen City Ave, Manchester, NH 03101 Phone: 603-627-1102 | |
Kimberly Ann Licciardi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 764 2nd St, Manchester, NH 03102 Phone: 603-669-3925 | |
Esthia Konstantinos Giakovis-sterling, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 184 Tarrytown Rd, Manchester, NH 03103 Phone: 603-627-1102 Fax: 603-647-5524 |