Ian Doherty, CRNA | |
1 Elliot Way Ste 200, Manchester, NH 03103-3502 | |
(603) 663-2315 | |
Not Available |
Full Name | Ian Doherty |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 2 Years |
Location | 1 Elliot Way Ste 200, Manchester, New Hampshire |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023683984 | NPI | - | NPPES |
Facility Name | Location | Facility Type |
---|---|---|
North Shore Medical Center - | Salem, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Massachusetts General Physicians Organization Inc | 2466365820 | 3084 |
Mass General Brigham Medical Group, Inc. | 3971987108 | 87 |
Entity Name | Massachusetts General Physicians Organization Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
Entity Name | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
Entity Name | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
Entity Name | The General Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
Entity Name | Mass General Brigham Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083360200 PECOS PAC ID: 3971987108 Enrollment ID: O20230925000368 |
Mailing Address | Practice Location Address |
---|---|
Ian Doherty, CRNA Provider Enrollment 41 Mall Road, Burlington, MA 01805-0001 Ph: (781) 744-8085 | Ian Doherty, CRNA 1 Elliot Way Ste 200, Manchester, NH 03103-3502 Ph: (603) 663-2315 |
Bethany Peattie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Mcgregor St, Manchester, NH 03102 Phone: 603-668-3545 Fax: 434-517-3021 | |
Laura Slason Dobens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-2315 Fax: 603-647-9180 | |
Kellie Cosgrove, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Hitchcock Way, Manchester, NH 03104 Phone: 603-695-2500 | |
Michael Pierce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Mcgregor St, Manchester, NH 03102 Phone: 603-668-3545 | |
Brenda S Stevens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-2315 Fax: 603-647-9180 | |
Concetta Mcalister, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-2315 Fax: 603-647-9180 |