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 | 25 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 |
---|---|---|
Concord Hospital | Concord, NH | Hospital |
Lakes Region General Hospital | Laconia, NH | Hospital |
Franklin Regional Hospital | Franklin, NH | Hospital |
Mary Hitchcock Memorial Hospital | Lebanon, NH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Concord Imaging Center | 2466448030 | 20 |
X-ray Professional Association | 3375539927 | 60 |
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 |
Entity Name | Sportsmedicine Atlantic Orthopaedics Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881631554 PECOS PAC ID: 4587561196 Enrollment ID: O20050518000300 |
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. Archie R Mcgowan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 333 Borthwick Ave, Portsmouth, NH 03801 Phone: 603-433-4008 | |
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 | |
Amjad Massoud, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 18 Sheafe St, Portsmouth, NH 03801 Phone: 603-319-6225 Fax: 603-206-8996 | |
Owen Robert Stevens, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 333 Borthwick Ave, Portsmouth, NH 03801 Phone: 603-433-4008 Fax: 603-431-3572 |