Glenn S Bacon, DO | |
789 Central Ave, Wentworth Douglass Hospital, Dover, NH 03820 | |
(603) 749-7246 | |
(603) 749-2453 |
Full Name | Glenn S Bacon |
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Gender | Male |
Speciality | Anesthesiology |
Location | 789 Central Ave, Dover, 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 |
---|---|---|---|
1780662262 | NPI | - | NPPES |
30220036 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 9896 (New Hampshire) | Primary |
Entity Name | Salem Professional Anesthesia Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538171897 PECOS PAC ID: 9133180326 Enrollment ID: O20041108000480 |
Entity Name | Amsol Physicians Of Elkin, Nc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801989504 PECOS PAC ID: 1355304387 Enrollment ID: O20041110000315 |
Mailing Address | Practice Location Address |
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Glenn S Bacon, DO 3998 Fair Ridge Dr, Ste 300, Fairfax, VA 22033-2921 Ph: (703) 295-9360 | Glenn S Bacon, DO 789 Central Ave, Wentworth Douglass Hospital, Dover, NH 03820 Ph: (603) 749-7246 |
Dr. Dennis B. Thapa, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-609-6819 Fax: 603-609-6821 | |
Dr. Sargis Ohanyan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-609-6819 | |
Dr. Ira Seth Lehrer, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-749-7246 Fax: 603-749-2453 | |
James M Mckenna, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 789 Central Ave, Wentworth Douglass Hospital, Dover, NH 03820 Phone: 603-749-7246 Fax: 603-749-2453 | |
Dr. Robert F. O'donnell, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-742-5252 | |
Dr. Christopher John Curatolo, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-742-5252 | |
Thomas Zouki, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-609-6819 Fax: 603-609-6821 |