| Kenneth Shuman, MD | |
|
36 Madbury Rd, Durham, NH 03824-2021 | |
| (603) 868-5080 | |
| (603) 868-7440 |
| Full Name | Kenneth Shuman |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 36 Madbury Rd, Durham, 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 |
|---|---|---|---|
| 1043266059 | NPI | - | NPPES |
| 3076101 | Medicaid | NH | |
| 1043266059 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11939 (New Hampshire) | Primary |
| 207Q00000X | Family Medicine | MD16159 (Maine) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cornerstone Vna | Rochester, NH | Home health agency |
| Wentworth Home Care & Hospice, An Amedisys Partner | Somersworth, NH | Home health agency |
| Wentworth-douglass Hospital | Dover, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wentworth Douglass Physician Corporation | 5496749848 | 400 |
| Entity Name | Wentworth Douglass Physician Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447352430 PECOS PAC ID: 5496749848 Enrollment ID: O20040409000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Shuman, MD 789 Central Ave, Dover, NH 03820-2526 Ph: (603) 868-5080 | Kenneth Shuman, MD 36 Madbury Rd, Durham, NH 03824-2021 Ph: (603) 868-5080 |
Mark R Blackwood, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 36 Madbury Rd, Durham, NH 03824 Phone: 603-868-5080 Fax: 603-868-7440 | |
Dominique A Carpentier, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 44 Newmarket Rd, Durham, NH 03824 Phone: 603-868-5832 Fax: 603-868-5408 |