Kevin J Dicesare, MD | |
44 Stiles Rd, Salem, NH 03079 | |
(603) 893-3548 | |
(603) 898-4779 |
Full Name | Kevin J Dicesare |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 44 Stiles Rd, Salem, 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 |
---|---|---|---|
1265491674 | NPI | - | NPPES |
794877 | Other | NH | MVP PIN |
30205115 | Medicaid | NH | |
01Y008391NH01 | Other | NH | ANTHEM ACES # |
2042889 | Other | NH | CIGNA BH PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 12784 (New Hampshire) | Primary |
Entity Name | Mccd Psychiatry Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033750823 PECOS PAC ID: 4082049036 Enrollment ID: O20220323001066 |
Entity Name | Mccd Fl Psychiatry Services Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659003457 PECOS PAC ID: 4880064070 Enrollment ID: O20230104002248 |
Mailing Address | Practice Location Address |
---|---|
Kevin J Dicesare, MD 44 Stiles Rd, Salem, NH 03079 Ph: (603) 893-3548 | Kevin J Dicesare, MD 44 Stiles Rd, Salem, NH 03079 Ph: (603) 893-3548 |
Dr. James A Whitlock, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 70 Butler St, Salem, NH 03079 Phone: 603-893-2900 Fax: 603-898-4361 | |
Dr. Karina Tamir, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 30 Tuscan Blvd, Salem, NH 03079 Phone: 978-238-0333 |