| Kristin A Mallett, MD | |
|
67 Corporate Dr, Portsmouth, NH 03801-2847 | |
| (603) 610-8050 | |
| Not Available |
| Full Name | Kristin A Mallett |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 67 Corporate Dr, Portsmouth, New Hampshire |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972739761 | NPI | - | NPPES |
| 110092695A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 250861 (Massachusetts) | Secondary |
| 207Q00000X | Family Medicine | 33855 (New Hampshire) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wentworth-douglass Hospital | Dover, NH | Hospital |
| Umass Memorial Medical Center/university Campus | Worcester, MA | 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 |
|---|---|
| Kristin A Mallett, MD Po Box 412503, Boston, MA 02241-2503 Ph: () - | Kristin A Mallett, MD 67 Corporate Dr, Portsmouth, NH 03801-2847 Ph: (603) 610-8050 |
Dr. Eric J Schneider, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Woodbury Ave, Portsmouth, NH 03801 Phone: 603-602-9070 Fax: 603-810-6881 | |
Jennifer Lynn Hopp, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 67 Corporate Dr Fl 2, Portsmouth, NH 03801 Phone: 603-610-8078 Fax: 603-868-8373 | |
Evelyn A Graff, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 Greenland Rd Unit C3, Portsmouth, NH 03801 Phone: 603-836-9869 | |
Michelle Bolduc, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 278 Lafayette Rd Ste E5, Portsmouth, NH 03801 Phone: 603-433-8488 Fax: 603-373-6009 | |
Jennifer Katsu Stebbing, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Greenleaf Woods Dr Unit 102, Portsmouth, NH 03801 Phone: 603-436-0220 | |
Jenne R Wax, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Woodbury Ave, Portsmouth, NH 03801 Phone: 603-602-9070 | |
Karen L Palmer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 New Hampshire Ave, Suite 100, Portsmouth, NH 03801 Phone: 603-431-2516 Fax: 603-431-9945 |