| Peter G Doane, MD | |
|
5 School St, Bristol, NH 03222-3263 | |
| (603) 744-5441 | |
| (603) 744-3698 |
| Full Name | Peter G Doane |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 42 Years |
| Location | 5 School St, Bristol, 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 |
|---|---|---|---|
| 1184694804 | NPI | - | NPPES |
| 3412789 | Other | NH | AETNA |
| 70001016 | Medicaid | NH | |
| 383805 | Other | NH | MVP |
| 625434 | Other | NH | CIGNA |
| B85969 | Other | NH | HARVARD PILGRIM HLTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7299 (New Hampshire) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Sunapee Home Care & Hospice | New london, NH | Hospice |
| New London Hospital | New london, NH | Hospital |
| Woodlawn Care Center | Newport, NH | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Theoria Medical | 5395098339 | 414 |
| Entity Name | Lrghealthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700976032 PECOS PAC ID: 8820908189 Enrollment ID: O20040303000982 |
| Entity Name | Concord Hospital-laconia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053993741 PECOS PAC ID: 7012326259 Enrollment ID: O20210429001355 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20210712003011 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter G Doane, MD Po Box 1327, Laconia, NH 03247-1327 Ph: (603) 524-3211 | Peter G Doane, MD 5 School St, Bristol, NH 03222-3263 Ph: (603) 744-5441 |
Gary D Diederich, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 859 Lake St, Bristol, NH 03222 Phone: 603-744-6200 Fax: 603-744-9024 |