| Ian Doherty, CRNA | |
|
1 Elliot Way Ste 200, Manchester, NH 03103-3502 | |
| (603) 663-2315 | |
| Not Available |
| Full Name | Ian Doherty |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 1 Elliot Way Ste 200, Manchester, 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 |
|---|---|---|---|
| 1023683984 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cambridge Health Alliance | Cambridge, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mass General Brigham Medical Group, Inc. | 3971987108 | 122 |
| Lawrence Anesthesia Services Llc | 4082770136 | 112 |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
| Entity Name | The General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
| Entity Name | Lawrence Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467699918 PECOS PAC ID: 4082770136 Enrollment ID: O20090225000707 |
| Entity Name | Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1245773308 PECOS PAC ID: 6305749987 Enrollment ID: O20170628003015 |
| Entity Name | Mass General Brigham Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083360200 PECOS PAC ID: 3971987108 Enrollment ID: O20230925000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Doherty, CRNA Provider Enrollment 41 Mall Road, Burlington, MA 01805-0001 Ph: (781) 744-8085 | Ian Doherty, CRNA 1 Elliot Way Ste 200, Manchester, NH 03103-3502 Ph: (603) 663-2315 |
Bethany Peattie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Mcgregor St, Manchester, NH 03102 Phone: 603-668-3545 Fax: 434-517-3021 | |
Laura Slason Dobens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-2315 Fax: 603-647-9180 | |
Kellie Cosgrove, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Hitchcock Way, Manchester, NH 03104 Phone: 603-695-2500 | |
Michael Pierce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Mcgregor St, Manchester, NH 03102 Phone: 603-668-3545 | |
Brenda S Stevens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-2315 Fax: 603-647-9180 | |
Concetta Mcalister, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-2315 Fax: 603-647-9180 |