| Becket Family Of Services | |
|
23 S Main St Hanover NH 03755-2075 | |
| (603) 353-9102 | |
| Not Available |
| Full Name | Becket Family Of Services |
|---|---|
| Speciality | Custodial Care Facility |
| Location | 23 S Main St, Hanover, New Hampshire |
| Authorized Official Name and Position | Jay Wolter (PRESIDENT) |
| Authorized Official Contact | 6033539102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Becket Family Of Services Po Box 325 Orford NH 03777-0325 Ph: (802) 379-5821 | Becket Family Of Services 23 S Main St Hanover NH 03755-2075 Ph: (603) 353-9102 |
| NPI Number | 1336614478 |
|---|---|
| Provider Enumeration Date | 10/04/2018 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Medicare PECOS PAC ID | 2264765478 |
|---|---|
| Medicare Enrollment ID | O20190603002050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336614478 | NPI | - | NPPES |
| Provider Name | Michael S Hiltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033288378 PECOS PAC ID: 4385871649 Enrollment ID: I20131211001232 |
| Provider Name | Bethany M Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861875734 PECOS PAC ID: 3678802170 Enrollment ID: I20190909002820 |
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