| Wakefield Family Medicine Llc | |
|
131 Meadow St Sanbornville NH 03872-4329 | |
| (603) 871-8227 | |
| (603) 871-8285 |
| Full Name | Wakefield Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 131 Meadow St, Sanbornville, New Hampshire |
| Authorized Official Name and Position | Dennis S Badman (OWNER) |
| Authorized Official Contact | 6038718227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wakefield Family Medicine Llc 131 Meadow St Sanbornville NH 03872-4329 Ph: (603) 871-8227 | Wakefield Family Medicine Llc 131 Meadow St Sanbornville NH 03872-4329 Ph: (603) 871-8227 |
| NPI Number | 1053424440 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 12/12/2019 |
| Medicare PECOS PAC ID | 1557420445 |
|---|---|
| Medicare Enrollment ID | O20190521002003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053424440 | NPI | - | NPPES |
| 30007719 | Medicaid | NH | |
| 01090954PNH01 | Other | ANTHEM | |
| 133380 | Other | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8928 (New Hampshire) | Primary |
| Provider Name | Dennis S Badman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508847120 PECOS PAC ID: 5294821294 Enrollment ID: I20071023000160 |
| Provider Name | Christina Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720610611 PECOS PAC ID: 7214366806 Enrollment ID: I20200402001412 |
Wakefield Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Meadow St, Sanbornville, NH 03872 Phone: 603-871-8227 Fax: 603-871-8285 |