| Easter Seals New Hampshire, Inc | |
|
555 Auburn St Manchester NH 03103-4803 | |
| (603) 623-8863 | |
| (603) 625-1148 |
| Full Name | Easter Seals New Hampshire, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 555 Auburn St, Manchester, New Hampshire |
| Authorized Official Name and Position | Claire Gagnon (CFO) |
| Authorized Official Contact | 6036213516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals New Hampshire, Inc 555 Auburn St Manchester NH 03103-4803 Ph: (603) 623-8863 | Easter Seals New Hampshire, Inc 555 Auburn St Manchester NH 03103-4803 Ph: (603) 623-8863 |
| NPI Number | 1730251430 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 09/06/2023 |
| Certification Date | 09/06/2023 |
| Medicare PECOS PAC ID | 6709795412 |
|---|---|
| Medicare Enrollment ID | O20110217000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730251430 | NPI | - | NPPES |
| 3075504 | Medicaid | NH | |
| 612847 | Other | NH | TUFTS |
| 3078269 | Medicaid | NH | |
| 3110359 | Medicaid | NH | |
| 3078320 | Medicaid | NH | |
| 9776092 | Other | NH | AETNA |
| 3071602 | Medicaid | NH | |
| 3109010 | Medicaid | NH | |
| 801116 | Other | NH | TUFTS |
| Provider Name | Edgar Y Oppenheimer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649243361 PECOS PAC ID: 4587648886 Enrollment ID: I20120725000182 |
| Provider Name | Kayla Bushway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104557578 PECOS PAC ID: 2567842750 Enrollment ID: I20220706000995 |
| Provider Name | Stephanie Masterman Higgs |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750632865 PECOS PAC ID: 4789035999 Enrollment ID: I20240111002156 |
| Provider Name | Nicole Lanette Ward |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891408589 PECOS PAC ID: 2264883420 Enrollment ID: I20240111004152 |
| Provider Name | Emily Elizabeth Holmes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588106637 PECOS PAC ID: 8426312992 Enrollment ID: I20240112002090 |
| Provider Name | Russell Schaechtle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548964927 PECOS PAC ID: 6709238371 Enrollment ID: I20240118004054 |
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