| One Medical At Dartmouth | |
|
7 Allen Street Suite 101 Hanover NH 03755 | |
| (603) 738-1164 | |
| (603) 653-8191 |
| Full Name | One Medical At Dartmouth |
|---|---|
| Speciality | Internal Medicine |
| Location | 7 Allen Street, Hanover, New Hampshire |
| Authorized Official Name and Position | Suzanne Hansen (CHIEF MEDICARE PROGRAM OFFICER) |
| Authorized Official Contact | 4158140927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Medical At Dartmouth 1 Embarcadero Ctr Fl 19 San Francisco CA 94111-3628 Ph: () - | One Medical At Dartmouth 7 Allen Street Suite 101 Hanover NH 03755 Ph: (603) 738-1164 |
| NPI Number | 1700285616 |
|---|---|
| Provider Enumeration Date | 08/15/2014 |
| Last Update Date | 09/05/2023 |
| Medicare PECOS PAC ID | 1254623689 |
|---|---|
| Medicare Enrollment ID | O20171009001138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700285616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joel S Lazar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639199763 PECOS PAC ID: 0941108997 Enrollment ID: I20031229000639 |
| Provider Name | Anne M Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578657052 PECOS PAC ID: 2365664083 Enrollment ID: I20191001000582 |
| Provider Name | Arnice Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154763126 PECOS PAC ID: 0840421897 Enrollment ID: I20230816001776 |
| Provider Name | Allegra Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134645997 PECOS PAC ID: 1759611049 Enrollment ID: I20230816003234 |
| Provider Name | Jessica Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043440134 PECOS PAC ID: 6305031345 Enrollment ID: I20230817002758 |
| Provider Name | Eran Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780057125 PECOS PAC ID: 6608153903 Enrollment ID: I20230906001344 |
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