| Jesse B Smith, MD | |
|
333 Borthwick Ave, Portsmouth, NH 03801-7128 | |
| (603) 433-4008 | |
| (603) 431-3572 |
| Full Name | Jesse B Smith |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 26 Years |
| Location | 333 Borthwick Ave, Portsmouth, New Hampshire |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659449270 | NPI | - | NPPES |
| 30205280 | Medicaid | NH | |
| 01Y008542 | Other | NH | ANTHEM BLUE SHIELD OF NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 12765 (New Hampshire) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakes Region General Hospital | Laconia, NH | Hospital |
| Concord Hospital | Concord, NH | Hospital |
| Franklin Regional Hospital | Franklin, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Concord Imaging Center | 2466448030 | 18 |
| X-ray Professional Association | 3375539927 | 56 |
| Entity Name | X-ray Professional Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790758449 PECOS PAC ID: 3375539927 Enrollment ID: O20040421000516 |
| Entity Name | Concord Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700859451 PECOS PAC ID: 2466448030 Enrollment ID: O20040421000655 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse B Smith, MD Po Box 1849, Lewistown, ME 04241-1849 Ph: (207) 784-2554 | Jesse B Smith, MD 333 Borthwick Ave, Portsmouth, NH 03801-7128 Ph: (603) 433-4008 |
Dr. Clayton Patrick Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 Corporate Dr, Portsmouth, NH 03801 Phone: 603-230-6100 | |
Douglas K Rhodes, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 333 Borthwick Ave, Portsmouth, NH 03801 Phone: 603-433-4008 Fax: 603-431-3572 | |
Dr. David Charles Stevens, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 333 Borthwick Ave, Portsmouth, NH 03801 Phone: 207-784-2554 | |
Katherine Mary Tobin, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 579 Sagamore Ave, Unit 60, Portsmouth, NH 03801 Phone: 952-595-1100 Fax: 612-294-4903 | |
Matthew D. Moore, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 333 Borthwick Ave, Portsmouth, NH 03801 Phone: 603-436-5110 | |
Owen Robert Stevens, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 333 Borthwick Ave, Portsmouth, NH 03801 Phone: 603-433-4008 Fax: 603-431-3572 |