| Gerald J Lyons Jr, MD | |
|
90 Swiftwater Road, Cottage Hospital, Woodsville, NH 03785-2001 | |
| (603) 747-9000 | |
| (603) 747-0401 |
| Full Name | Gerald J Lyons Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 90 Swiftwater Road, Woodsville, 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 |
|---|---|---|---|
| 1255434551 | NPI | - | NPPES |
| 77P010 | Other | VT | PROVIDER ID |
| 82114185 | Medicaid | NH | |
| 0004185 | Medicaid | VT | |
| COTT03993703 | Other | VT | PROVIDER ID |
| 0104185Y0NH03 | Other | NH | PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5745 (New Hampshire) | Primary |
| Entity Name | Cottage Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528162799 PECOS PAC ID: 1951219617 Enrollment ID: O20050509000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald J Lyons Jr, MD 90 Swiftwater Road, Cottage Hospital, Woodsville, NH 03785-2001 Ph: (603) 747-9000 | Gerald J Lyons Jr, MD 90 Swiftwater Road, Cottage Hospital, Woodsville, NH 03785-2001 Ph: (603) 747-9000 |
David K Frechette, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 90 Swiftwater Road, Cottage Hospital, Woodsville, NH 03785 Phone: 603-747-9000 Fax: 603-747-0401 | |
Jeffrey Hanissian, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 90 Swiftwater Road, Cottage Hospital, Woodsville, NH 03785 Phone: 603-747-9000 Fax: 603-747-0401 |