| Corey Allen Macdonald, CRNA | |
| 1 Pillsbury St, Suite 202, Concord, NH 03301-3556 | |
| (603) 224-4776 | |
| (603) 228-2113 | 
| Full Name | Corey Allen Macdonald | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 1 Pillsbury St, Concord, 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 | 
|---|---|---|---|
| 1720325491 | NPI | - | NPPES | 
| 3100551 | Medicaid | NH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA123058 (Maine) | Primary | 
| Entity Name | Anesthesia Associates Professional Association | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1881791150 PECOS PAC ID: 3375532435 Enrollment ID: O20040512000620 | 
| Entity Name | Medstream Anesthesia Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20170817001824 | 
| Entity Name | Collaborative Anesthesia Partners | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023522455 PECOS PAC ID: 9133482532 Enrollment ID: O20191011001659 | 
| Entity Name | Apollo Medical Group Of Wentworth Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1831748185 PECOS PAC ID: 8426389677 Enrollment ID: O20191018002554 | 
| Entity Name | Icon Anesthesia Services Of New England Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629583323 PECOS PAC ID: 2668732041 Enrollment ID: O20210805001349 | 
| Entity Name | Apollo Medical Group Of Portsmouth Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023780657 PECOS PAC ID: 9032509344 Enrollment ID: O20211130003135 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Corey Allen Macdonald, CRNA 1 Pillsbury St, Suite 202, Concord, NH 03301-3556 Ph: (603) 224-4776 | Corey Allen Macdonald, CRNA 1 Pillsbury St, Suite 202, Concord, NH 03301-3556 Ph: (603) 224-4776 | 
| Andrew Hershey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Pleasant St, Concord, NH 03301 Phone: 603-789-9103 Fax: 603-227-7832 | |
| Louis Dumont, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Pillsbury St, Suite 202, Concord, NH 03301 Phone: 603-224-4776 Fax: 603-228-2113 | |
| Christine A Burgess, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Pillsbury St, Suite 202, Concord, NH 03301 Phone: 603-224-4776 Fax: 603-228-2113 | |
| Mr. David Carter Glenn Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Pleasant St, Concord, NH 03301 Phone: 603-227-7000 | |
| James Vincent Tyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 264 Pleasant St, Concord, NH 03301 Phone: 603-224-3368 Fax: 603-228-7268 | |
| Gary Steven Yewdall Sr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 264 Pleasant St, Concord, NH 03301 Phone: 603-224-3368 Fax: 603-228-7268 | |
| Daniel Luttrell, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 250 Pleasant St, Concord, NH 03301 Phone: 603-225-2711 |