Dr Pancras Henry Van Der Laan, MD is a
Internal Medicine physician based in Lancaster, New Hampshire. Dr Pancras Henry Van Der Laan is licensed to practice in New Hampshire (license number 5728) and his current practice location is 173 Middle St, Lancaster, New Hampshire. He can be reached at his office (for appointments etc.) via phone at
(603) 788-4911.
NPI number for Dr Pancras Henry Van Der Laan is 1912985334 and his current mailing address is 173 Middle St, Lancaster, New Hampshire. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912985334.
Physician's Profile
| Full Name | Dr Pancras Henry Van Der Laan |
|---|
| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 173 Middle St, Lancaster, New Hampshire |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912985334
- Provider Enumeration Date: 01/05/2006
- Last Update Date: 12/19/2018
Medical Identifiers
Medical identifiers for Dr Pancras Henry Van Der Laan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912985334 | NPI | - | NPPES |
| 00000540 | Medicaid | NH | |
| 0004272 | Medicaid | VT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 5728 (New Hampshire) | Primary |
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 Pancras Henry Van Der Laan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Pancras Henry Van Der Laan, MD
173 Middle St,
Lancaster, NH 03584-3508
Ph: (603) 788-5029 | Dr Pancras Henry Van Der Laan, MD
173 Middle St,
Lancaster, NH 03584-3508
Ph: (603) 788-4911 |
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