Mallory Yeaton Belanger, | |
139 Winter St, Tilton, NH 03276-5415 | |
(603) 527-4400 | |
Not Available |
Full Name | Mallory Yeaton Belanger |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 139 Winter St, Tilton, 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 |
---|---|---|---|
1578339164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 075906-23 (New Hampshire) | Primary |
Entity Name | Pmc Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396121240 PECOS PAC ID: 0345545737 Enrollment ID: O20160223001322 |
Entity Name | Theoria Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20210712003011 |
Mailing Address | Practice Location Address |
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Mallory Yeaton Belanger, 18 Ty Ln, Concord, NH 03303-1049 Ph: () - | Mallory Yeaton Belanger, 139 Winter St, Tilton, NH 03276-5415 Ph: (603) 527-4400 |
Michael Smirnioudis, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 75 Laconia Rd Ste 500, Tilton, NH 03276 Phone: 603-526-4635 | |
Emily Rachel Parker, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 614 Laconia Rd Unit 2, Tilton, NH 03276 Phone: 603-717-7020 |