| Dr Kelley J White, MD | |
|
101 Boulder Point Drive, Suite 1, Plymouth, NH 03264-3170 | |
| (603) 536-4000 | |
| (603) 536-4001 |
| Full Name | Dr Kelley J White |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 101 Boulder Point Drive, Plymouth, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902952906 | NPI | - | NPPES |
| 30208231 | Medicaid | NH | |
| 0009170610001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD-026612-E (Pennsylvania) | Secondary |
| 208000000X | Pediatrics | 14003 (New Hampshire) | Primary |
| Entity Name | Covenant House Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659462679 PECOS PAC ID: 3476591686 Enrollment ID: O20050419000796 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelley J White, MD 101 Boulder Point Drive, Suite 1, Plymouth, NH 03264-3170 Ph: (603) 536-4000 | Dr Kelley J White, MD 101 Boulder Point Drive, Suite 1, Plymouth, NH 03264-3170 Ph: (603) 536-4000 |
Dr. David Jude Cunis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 71 Highland St, Dartmouth Hitchcock Clinic, Plymouth, NH 03264 Phone: 603-536-3700 Fax: 603-536-5384 | |
Danette T Colella, Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Boulder Point Dr Ste 1, Plymouth, NH 03264 Phone: 603-536-4000 Fax: 603-536-4000 | |
Nancy Crocker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 71 Highland St, Plymouth, NH 03264 Phone: 603-536-3700 | |
Heather Wright Williams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 71 Highland St, Dartmouth-hitchcock Clinic/pediatrics, Plymouth, NH 03264 Phone: 603-536-3700 | |
Eric Matthew Shamansky, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 71 Highland St, Plymouth, NH 03264 Phone: 603-536-3700 |