Michael Benjamin Davidson, DO | |
10 Members Way, Suite 400, Dover, NH 03820-5933 | |
(603) 742-1143 | |
(603) 749-3509 |
Full Name | Michael Benjamin Davidson |
---|---|
Gender | Male |
Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 10 Members Way, 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 |
---|---|---|---|
1225109168 | NPI | - | NPPES |
3076450 | Medicaid | NH | |
1225109168 | Medicaid | ME | |
P00775096 | Other | NH | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 13393 (New Hampshire) | Primary |
Entity Name | Wentworth Douglass Physician Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447352430 PECOS PAC ID: 5496749848 Enrollment ID: O20040409000433 |
Mailing Address | Practice Location Address |
---|---|
Michael Benjamin Davidson, DO 789 Central Ave, Dover, NH 03820-2526 Ph: (603) 742-1143 | Michael Benjamin Davidson, DO 10 Members Way, Suite 400, Dover, NH 03820-5933 Ph: (603) 742-1143 |
Dr. Mark Lee Dick, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 10 Members Way Fl 5, Dover, NH 03820 Phone: 603-609-6800 | |
Dr. Brian Todd Mckinley, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 10 Members Way Ste 403, Dover, NH 03820 Phone: 603-742-6664 | |
Mrs. Jhansi Lakshmi Maradana, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 10 Members Way Ste 400, Dover, NH 03820 Phone: 603-742-1143 Fax: 603-749-3509 | |
Ravi Teja Pasam, M.D. Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-740-2503 Fax: 603-740-2497 | |
Paul C Tung, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 10 Members Way, Suite 400, Dover, NH 03820 Phone: 603-742-1143 Fax: 603-749-3509 | |
Amy Claire Bessnow, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-740-2694 | |
Dylan Thomas, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 10 Members Way Ste 400, Dover, NH 03820 Phone: 603-742-1143 Fax: 603-749-3509 |