| Candice Black, DO | |
|
1 Medical Center Dr, Pathology Dept, Dhmc, Lebanon, NH 03756-1000 | |
| (603) 650-7211 | |
| Not Available |
| Full Name | Candice Black |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 29 Years |
| Location | 1 Medical Center Dr, Lebanon, New Hampshire |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528093887 | NPI | - | NPPES |
| 30222118 | Medicaid | NH | |
| 1009038 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0101X | Pathology - Anatomic Pathology | 11684 (New Hampshire) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mary Hitchcock Memorial Hospital | Lebanon, NH | Hospital |
| Cheshire Medical Center | Keene, NH | Hospital |
| New London Hospital | New london, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dartmouth-hitchcock Clinic | 4183537509 | 1269 |
| Entity Name | Mary Hitchcock Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258 |
| Entity Name | Dartmouth-hitchcock Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Candice Black, DO 1 Medical Center Dr, Pathology Dept, Dhmc, Lebanon, NH 03756-1000 Ph: (603) 650-7211 | Candice Black, DO 1 Medical Center Dr, Pathology Dept, Dhmc, Lebanon, NH 03756-1000 Ph: (603) 650-7211 |
Dr. Charles Harker Rhodes Iii, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Department Of Pathology, Lebanon, NH 03756 Phone: 603-650-7744 | |
Dr. Zbigniew Macdonald Szczepiorkowski, MD, PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-653-9907 Fax: 603-650-4845 | |
Dr. Melissa Louise Petras, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000 | |
Dr. Kim T Ornvold, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Dhmc - Dept Of Pathology, Lebanon, NH 03756 Phone: 603-650-7211 | |
Seth Charles Lummus, D.O. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-7211 | |
Dr. Arief Suriawinata, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Dhmc - Pathology, Lebanon, NH 03756 Phone: 603-650-7048 | |
Elena Zarovnaya, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-8458 |