Katherine Su, MD | |
100 Hitchcock Way, Manchester, NH 03104-4125 | |
(603) 308-1472 | |
Not Available |
Full Name | Katherine Su |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 6 Years |
Location | 100 Hitchcock Way, Manchester, New Hampshire |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689063919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 291574 (Massachusetts) | Secondary |
207N00000X | Dermatology | 24057 (New Hampshire) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mary Hitchcock Memorial Hospital | 4486561164 | 955 |
Entity Name | Mary Hitchcock Memorial Hospital |
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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 |
---|---|
Katherine Su, MD Po Box 810, Hanover, NH 03755-0810 Ph: (603) 308-1472 | Katherine Su, MD 100 Hitchcock Way, Manchester, NH 03104-4125 Ph: (603) 308-1472 |
Dr. Mayra Beauchamp Bruno, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 100 Hitchcock Way, Manchester, NH 03104 Phone: 603-695-2500 | |
Dr. Robert John Willer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 100 Hitchcock Way, Manchester, NH 03104 Phone: 603-695-2500 | |
Dr. Herbert Cheuhui Chiang, M.D., PH.D. Dermatology Medicare: Medicare Enrolled Practice Location: 185 Queen City Ave, Manchester, NH 03101 Phone: 603-314-6930 Fax: 603-314-6939 | |
Dr. Daniel B Stewart, M.D., PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 100 Hitchcock Way, Manchester, NH 03104 Phone: 603-695-2500 | |
Jillian F Rork, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 100 Hitchcock Way, Dermatology, Manchester, NH 03104 Phone: 603-695-2500 | |
Dr. Hamad Alabdulrazzaq, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 87 Mcgregor St, Suite 2100, Manchester, NH 03102 Phone: 603-626-7546 Fax: 603-626-7548 |