Samuel Joseph Casella, MD | |
1 Medical Center Dr, Department Of Pediatrics, Lebanon, NH 03756-1000 | |
(603) 653-9877 | |
(603) 650-0907 |
Full Name | Samuel Joseph Casella |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Endocrinology |
Location | 1 Medical Center Dr, 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 |
---|---|---|---|
1386650323 | NPI | - | NPPES |
1008187 | Medicaid | VT | |
30201721 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0205X | Pediatrics - Pediatric Endocrinology | 11410 (New Hampshire) | Primary |
Entity Name | Dartmouth-hitchcock Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386697803 PECOS PAC ID: 4183537509 Enrollment ID: O20031111000313 |
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 |
---|---|
Samuel Joseph Casella, MD 1 Medical Center Dr, Dept Of Pediatrics, Lebanon, NH 03756-1000 Ph: (603) 653-9877 | Samuel Joseph Casella, MD 1 Medical Center Dr, Department Of Pediatrics, Lebanon, NH 03756-1000 Ph: (603) 653-9877 |
Sheila L Feyrer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5 Alice Peck Day Dr, Lebanon, NH 03766 Phone: 603-448-3122 Fax: 603-448-7491 | |
Scott Shipman, MD, MPH Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-653-9337 | |
Dr. Julie Lucy Sanville, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: One Medical Center Drive, Gastroenterology, Lebanon, NH 03756 Phone: 603-653-9666 Fax: 603-653-9166 | |
Dr. Torunn Thorsen Rhodes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-653-6063 | |
Kimberly Molina, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000 | |
Dr. Tricia Lynn Groff, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Dhmc Department Of Pediatrics, Lebanon, NH 03756 Phone: 603-653-9663 | |
Paul Eric Palumbo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Infectious Disease - Dartmouth-hitchcock Med Ctr, Lebanon, NH 03756 Phone: 603-650-8840 Fax: 603-650-6199 |