| Krzysztof Plociennik, MD | |
|
7 Page Hill Rd, Berlin, NH 03570-3531 | |
| (603) 752-2200 | |
| (603) 326-5999 |
| Full Name | Krzysztof Plociennik |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 42 Years |
| Location | 7 Page Hill Rd, Berlin, 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 |
|---|---|---|---|
| 1194817759 | NPI | - | NPPES |
| 00049367 | Other | VT | BCBS |
| 15V305 | Other | VT | MVP |
| 4675801 | Other | UT | VERMONT MANAGED CARE APEX |
| 420001577 | Other | VT | TRAVELERS MEDICARE |
| 0VN2990 | Medicaid | VT | |
| 8000477 | Other | VT | LADIES FIRST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 14636 (New Hampshire) | Primary |
| 207V00000X | Obstetrics & Gynecology | 042-0009852 (Vermont) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Androscoggin Valley Hospital | Berlin, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Androscoggin Valley Hospital Inc | 2365350725 | 54 |
| Coos County Family Health Services Inc | 8628970480 | 32 |
| Entity Name | Androscoggin Valley Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386680593 PECOS PAC ID: 2365350725 Enrollment ID: O20040402000121 |
| Entity Name | Coos County Family Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346242054 PECOS PAC ID: 8628970480 Enrollment ID: O20040520000556 |
| Entity Name | Weeks Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508819566 PECOS PAC ID: 2769461284 Enrollment ID: O20040719000284 |
| Entity Name | Androscoggin Valley Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679526644 PECOS PAC ID: 2365350725 Enrollment ID: O20040929000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Krzysztof Plociennik, MD 59 Page Hill Rd, Berlin, NH 03570-3531 Ph: (603) 752-2200 | Krzysztof Plociennik, MD 7 Page Hill Rd, Berlin, NH 03570-3531 Ph: (603) 752-2200 |
Marianne Jackson, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 133 Pleasant St, Berlin, NH 03570 Phone: 603-752-2040 Fax: 603-752-7797 | |
Bruce Lastra, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 7 Page Hill Rd, Berlin, NH 03570 Phone: 603-752-2300 Fax: 603-326-5831 | |
Dr. Stephen A Kull, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7 Page Hill Rd, Berlin, NH 03570 Phone: 603-752-2300 Fax: 603-752-8231 |