| John Allen Ditri, MD | |
|
590 Court St, Keene, NH 03431-1719 | |
| (603) 354-5454 | |
| Not Available |
| Full Name | John Allen Ditri |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 35 Years |
| Location | 590 Court St, Keene, 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 |
|---|---|---|---|
| 1770693426 | NPI | - | NPPES |
| 01Y003572NH01 | Other | NH | ANTHEM BC/BS OF NH |
| 1008513 | Other | NH | VT EDS MEDICAID |
| 11444 | Other | MEDICAL LICENSE NUMBER | |
| 12558721 | Other | VT | BC OF VERMONT |
| 250013258 | Other | NH | RAILROAD MEDICARE PROV # |
| 30201891 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 11444 (New Hampshire) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 036177891 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portsmouth Regional Hospital | Portsmouth, NH | Hospital |
| Frisbie Memorial Hospital | Rochester, NH | Hospital |
| Wentworth-douglass Hospital | Dover, NH | Hospital |
| Entity Name | Appledore Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720077167 PECOS PAC ID: 5698666154 Enrollment ID: O20040601000165 |
| Entity Name | Dartmouth-hitchcock Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
| Entity Name | Cheshire Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093803397 PECOS PAC ID: 1456260165 Enrollment ID: O20070913000090 |
| Mailing Address | Practice Location Address |
|---|---|
| John Allen Ditri, MD 590 Court St, Keene, NH 03431-1719 Ph: (603) 354-5454 | John Allen Ditri, MD 590 Court St, Keene, NH 03431-1719 Ph: (603) 354-5454 |
Dr. Nancy Elaine Johnson, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 590 Court St, Keene, NH 03431 Phone: 603-354-5454 |