Dr Ellesse Credaroli, DO in Lebanon, NH

Dr Ellesse Credaroli, DO is a medicare enrolled "Anesthesiology" physician in Lebanon, New Hampshire. Her current practice location is 1 Medical Center Dr, Lebanon, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 650-5000.

Dr Ellesse Credaroli is licensed to practice in New Hampshire (license number 34432) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447789524.

Contact Information

	Dr Ellesse Credaroli, DO
	1 Medical Center Dr, Lebanon, NH 03756-0001
	(603) 650-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ellesse Credaroli
Gender	Female
Speciality	Anesthesiology
Location	1 Medical Center Dr, Lebanon, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447789524
Provider Enumeration Date: 06/12/2017
Last Update Date: 06/17/2025

Medicare PECOS Information:

PECOS PAC ID: 1557632049
Enrollment ID: I20220914001333

Medical Identifiers

Medical identifiers for Dr Ellesse Credaroli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447789524	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	OS022704 (Pennsylvania)	Secondary
207L00000X	Anesthesiology	34432 (New Hampshire)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ellesse Credaroli allows following entities to bill medicare on her behalf.

Entity Name	Massachusetts General Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434

Entity Name	The General Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ellesse Credaroli is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Ellesse Credaroli, DO 3400 Spruce Street, Philadelphia, PA 19104-4206 Ph: (215) 349-8310	Dr Ellesse Credaroli, DO 1 Medical Center Dr, Lebanon, NH 03756-0001 Ph: (603) 650-5000

Reviews and Comments

Anesthesiology Doctors in Lebanon, NH

Marbelia C Gonzalez, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000
Regina Lee Gritsavage, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Dhmc, Lebanon, NH 03756 Phone: 603-650-5000
Dr. Jesus David Dominguez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000
Tabitha Antoinette Washington, M.D., B.S. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Dhmc Department Of Anesthesiology, Pain Medicine, Lebanon, NH 03756 Phone: 603-650-6040 Fax: 603-650-8199
Dr. Vinca Wing Kar Chow, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Drive, Dartmouth Hitchcock-anesthesiology & Pain Medicine, Lebanon, NH 03756 Phone: 603-650-6177
Troy James Beck, Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922 Fax: 603-650-8980
Dr. Kimberly Youngren, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000

Dr Ellesse Credaroli, DO - Medicare Anesthesiology in Lebanon, NH