| Crossroads Family Medicine Pllc | |
|
194a Pleasant St Ste 101 Concord NH 03301-2960 | |
| (603) 856-8828 | |
| (603) 856-8813 |
| Full Name | Crossroads Family Medicine Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 194a Pleasant St Ste 101, Concord, New Hampshire |
| Authorized Official Name and Position | Peter Cochrane Loeser (MANAGER) |
| Authorized Official Contact | 6038568828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Family Medicine Pllc 194a Pleasant St Ste 101 Concord NH 03301-2960 Ph: (603) 856-8828 | Crossroads Family Medicine Pllc 194a Pleasant St Ste 101 Concord NH 03301-2960 Ph: (603) 856-8828 |
| NPI Number | 1891953568 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 03/08/2023 |
| Medicare PECOS PAC ID | 8628244084 |
|---|---|
| Medicare Enrollment ID | O20120105000975 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891953568 | NPI | - | NPPES |
| 3078556 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 11066 (New Hampshire) | Primary |
| Provider Name | Peter C Loeser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831357508 PECOS PAC ID: 1951309400 Enrollment ID: I20061117000321 |
| Provider Name | Richard L Lapage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477005205 PECOS PAC ID: 8628317559 Enrollment ID: I20190311002102 |
| Provider Name | Megan Elizabeth Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336767458 PECOS PAC ID: 4688080393 Enrollment ID: I20210304000296 |
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