| Jyotsom Bipin Ganatra, MD MPU | |
|
250 River Rd, Manchester, NH 03104-2423 | |
| (603) 668-2020 | |
| (603) 668-0881 |
| Full Name | Jyotsom Bipin Ganatra |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 250 River Rd, Manchester, 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 |
|---|---|---|---|
| 1033185772 | NPI | - | NPPES |
| 954007378NH01 | Other | ANTHEM | |
| 30205198 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 12903 (New Hampshire) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Jyotsom Bipin Ganatra, MD MPU 250 River Rd, Manchester, NH 03104-2423 Ph: (603) 668-2020 | Jyotsom Bipin Ganatra, MD MPU 250 River Rd, Manchester, NH 03104-2423 Ph: (603) 668-2020 |
Ahad A Fazelat, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 250 River Rd, Manchester, NH 03104 Phone: 603-663-2020 Fax: 603-668-0881 | |
Dr. Jason Alan Hall, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 250 River Rd, Manchester, NH 03104 Phone: 603-668-2020 Fax: 603-668-0881 | |
Melissa Mei Yiu Wong, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 764 2nd St, Manchester, NH 03102 Phone: 603-669-3925 | |
Dr. Paul Michael Pender, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1415 Elm St, Nh Eye Associates Pa, Manchester, NH 03101 Phone: 603-669-3925 Fax: 603-669-0380 | |
Anthony J Correnti, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 764 2nd St # Sy, Manchester, NH 03102 Phone: 603-669-3925 Fax: 603-669-0380 | |
David Allen Bellows, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 250 River Rd, Manchester, NH 03104 Phone: 603-668-2020 Fax: 603-668-0881 |