John J Fothergill, MD | |
152 Colby St, Colebrook, NH 03576-3049 | |
(603) 331-0500 | |
(603) 237-8100 |
Full Name | John J Fothergill |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 39 Years |
Location | 152 Colby St, Colebrook, 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 |
---|---|---|---|
1336198175 | NPI | - | NPPES |
A66441 | Other | NH | HARVARD PILGRIM |
0105409YPNH02 | Other | NH | BCBS OF NH |
NH9636 | Other | NH | NHIC PROVIDER # |
1533376 | Other | NH | CIGNA |
1012501 | Other | VT | VT MEDICAID |
30002405 | Medicaid | NH | |
00008076 | Other | VT | BCBS OF VT |
11819 | Other | NH | MVP |
5225563 | Other | NH | AETNA |
8001191 | Other | VT | LADIES FIRST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 7838 (New Hampshire) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Country Home Health & Hospice Agency | Littleton, NH | Home health agency |
Orleans Essex Vna & Hospice | Newport, VT | Home health agency |
Upper Connecticut Valley Hospital | Colebrook, NH | Hospital |
Entity Name | Expressmed, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295856896 PECOS PAC ID: 6305090622 Enrollment ID: O20130213000429 |
Entity Name | North Country Medical And Wellness Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083133870 PECOS PAC ID: 1951661164 Enrollment ID: O20180529000949 |
Mailing Address | Practice Location Address |
---|---|
John J Fothergill, MD 152 Colby St, Colebrook, NH 03576-3049 Ph: (603) 331-0500 | John J Fothergill, MD 152 Colby St, Colebrook, NH 03576-3049 Ph: (603) 331-0500 |
Kristi Ann Samson-smith, RN Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 141 Corliss Ln, Colebrook, NH 03576 Phone: 603-237-2405 |