Dr Myles Dustin Boone, MD | |
One Medical Center Drive, Anesthesiology, Lebanon, NH 03756-0001 | |
(603) 650-6177 | |
Not Available |
Full Name | Dr Myles Dustin Boone |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | One Medical Center Drive, Lebanon, 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 |
---|---|---|---|
1700843471 | NPI | - | NPPES |
3113612 | Medicaid | NH | |
AA65827 | Other | MA | HARVARD PILGRIM |
J40336 | Other | MA | BLUE SHIELD |
34154 | Other | MA | BOSTON MEDICAL CENTER |
0007865 | Other | MA | NEIGHBORHOOD HEALTH |
1033420 | Medicaid | VT | |
494984 | Other | MA | TUFTS MEDICARE PREFERRED |
117118 | Other | MA | FALLON |
2122421 | Medicaid | MA | |
494984 | Other | MA | TUFTS |
AA65827 | Other | MA | HARVARD FREEDOM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LC0200X | Anesthesiology - Critical Care Medicine | 19115 (New Hampshire) | Secondary |
207L00000X | Anesthesiology | 19115 (New Hampshire) | Primary |
Entity Name | Mary Hitchcock Memorial Hospital |
---|---|
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 |
---|---|
Dr Myles Dustin Boone, MD One Medical Center Drive, Anesthesiology, Lebanon, NH 03756-0001 Ph: (603) 650-6177 | Dr Myles Dustin Boone, MD One Medical Center Drive, Anesthesiology, Lebanon, NH 03756-0001 Ph: (603) 650-6177 |
Marbelia C Gonzalez, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000 | |
Regina Lee Gritsavage, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Dhmc, Lebanon, NH 03756 Phone: 603-650-5000 | |
Tabitha Antoinette Washington, M.D., B.S. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Dhmc Department Of Anesthesiology, Pain Medicine, Lebanon, NH 03756 Phone: 603-650-6040 Fax: 603-650-8199 | |
Dr. Vinca Wing Kar Chow, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Drive, Dartmouth Hitchcock-anesthesiology & Pain Medicine, Lebanon, NH 03756 Phone: 603-650-6177 | |
Dr. Kimberly Youngren, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000 | |
Stacie G Deiner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922 | |
Wenzel D Kovarik, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922 |