| Christopher Eric Gagnon, AGACNP-BC | |
|
333 Borthwick Ave, Portsmouth, NH 03801-7128 | |
| (603) 436-5110 | |
| Not Available |
| Full Name | Christopher Eric Gagnon |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 333 Borthwick Ave, Portsmouth, 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 |
|---|---|---|---|
| 1720412216 | NPI | - | NPPES |
| 110097730A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | RN2269323 (Massachusetts) | Secondary |
| 363L00000X | Nurse Practitioner | RN2269323 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portsmouth Regional Hospital | Portsmouth, NH | Hospital |
| Frisbie Memorial Hospital | Rochester, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intensive Care Consortium Inc | 0244269413 | 444 |
| Entity Name | Intensive Care Consortium Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629019062 PECOS PAC ID: 0244269413 Enrollment ID: O20150915000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Eric Gagnon, AGACNP-BC Po Box 415348, Boston, MA 02241-5348 Ph: () - | Christopher Eric Gagnon, AGACNP-BC 333 Borthwick Ave, Portsmouth, NH 03801-7128 Ph: (603) 436-5110 |
Jill Capobianco, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Campus Dr, Suite 12, Portsmouth, NH 03801 Phone: 603-422-8208 Fax: 603-422-8219 | |
Ms. Anne Mcgann, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 Borthwick Ave, Suite 202, Portsmouth, NH 03801 Phone: 603-436-7171 | |
Krystle Lee Disorbo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3201 Lafayette Rd, Portsmouth, NH 03801 Phone: 603-380-9159 | |
Vanessa R Amatucci, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 67 Corporate Dr, Portsmouth, NH 03801 Phone: 603-610-8051 | |
Heidi J Tzizik, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 599 Lafayette Rd, Portsmouth, NH 03801 Phone: 603-942-7900 Fax: 603-630-1009 | |
Sarah Elizabeth Boyatsis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Griffin Rd Ste 15, Portsmouth, NH 03801 Phone: 603-373-0096 | |
Kaitlin Elizabeth Stolberg Cohen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 188 Jones Ave, Portsmouth, NH 03801 Phone: 603-431-2530 |