| Dr Myles Dustin Boone, MD | |
|
One Medical Center Drive, Anesthesiology, Lebanon, NH 03756-0001 | |
| (603) 650-6177 | |
| Not Available |
| Full Name | Dr Myles Dustin Boone |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | One Medical Center Drive, Lebanon, 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 |
|---|---|---|---|
| 1700843471 | NPI | - | NPPES |
| 3113612 | Medicaid | NH | |
| AA65827 | Other | MA | HARVARD PILGRIM |
| J40336 | Other | MA | BLUE SHIELD |
| 34154 | Other | MA | BOSTON MEDICAL CENTER |
| 0007865 | Other | MA | NEIGHBORHOOD HEALTH |
| 1033420 | Medicaid | VT | |
| 494984 | Other | MA | TUFTS MEDICARE PREFERRED |
| 117118 | Other | MA | FALLON |
| 2122421 | Medicaid | MA | |
| 494984 | Other | MA | TUFTS |
| AA65827 | Other | MA | HARVARD FREEDOM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LC0200X | Anesthesiology - Critical Care Medicine | 19115 (New Hampshire) | Secondary |
| 207L00000X | Anesthesiology | 19115 (New Hampshire) | Primary |
| Entity Name | Mary Hitchcock Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Myles Dustin Boone, MD One Medical Center Drive, Anesthesiology, Lebanon, NH 03756-0001 Ph: (603) 650-6177 | Dr Myles Dustin Boone, MD One Medical Center Drive, Anesthesiology, Lebanon, NH 03756-0001 Ph: (603) 650-6177 |
Marbelia C Gonzalez, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000 | |
Regina Lee Gritsavage, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Dhmc, Lebanon, NH 03756 Phone: 603-650-5000 | |
Dr. Jesus David Dominguez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000 | |
Tabitha Antoinette Washington, M.D., B.S. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Dhmc Department Of Anesthesiology, Pain Medicine, Lebanon, NH 03756 Phone: 603-650-6040 Fax: 603-650-8199 | |
Dr. Vinca Wing Kar Chow, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Drive, Dartmouth Hitchcock-anesthesiology & Pain Medicine, Lebanon, NH 03756 Phone: 603-650-6177 | |
Troy James Beck, Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922 Fax: 603-650-8980 | |
Dr. Kimberly Youngren, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000 |