| Amy Rebecca Bacon-ford, | |
|
1 Elliot Way, Manchester, NH 03103-3502 | |
| (603) 663-2766 | |
| Not Available |
| Full Name | Amy Rebecca Bacon-ford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1 Elliot Way, Manchester, 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 |
|---|---|---|---|
| 1760789143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 072006-23 (New Hampshire) | Primary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Secondary |
| Entity Name | Elliot Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285627935 PECOS PAC ID: 6103727920 Enrollment ID: O20040115000634 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Rebecca Bacon-ford, 1 Elliot Way, Manchester, NH 03103-3599 Ph: (603) 663-3388 | Amy Rebecca Bacon-ford, 1 Elliot Way, Manchester, NH 03103-3502 Ph: (603) 663-2766 |
Stephanie W Scripture, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Hitchcock Way, Internal Medicine/pediatrics, Manchester, NH 03104 Phone: 603-695-2500 | |
Nancy Thomson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Wall St, Suite 300, Manchester, NH 03101 Phone: 603-668-4111 Fax: 603-622-4134 | |
Mrs. Erin Elizabeth Mcdonough, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Mcgregor St, Manchester, NH 03102 Phone: 603-663-6401 Fax: 603-663-2059 | |
Elizabeth Anne Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 198 Maynard Ave, Manchester, NH 03103 Phone: 603-361-5123 | |
Renee R Gabree, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Hitchcock Way, Manchester, NH 03104 Phone: 603-695-2500 | |
Mrs. Erin Hope Fernald, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Elliot Way, Emergency Department, Manchester, NH 03103 Phone: 603-663-2830 Fax: 603-663-1849 | |
Nycol Clough, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Mcgregor St, Manchester, NH 03102 Phone: 603-663-6070 |