| James Peacock, CRNA | |
|
1 Medical Center Dr, Lebanon, NH 03756-1000 | |
| (603) 650-5000 | |
| (603) 640-1228 |
| Full Name | James Peacock |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 1 Medical Center Dr, Lebanon, 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 |
|---|---|---|---|
| 1306892062 | NPI | - | NPPES |
| 1286 | Other | RI | BLUE CROSS PROVIDER NUMBER |
| 001803 | Other | RI | BLUE CHIP PROVIDER NUMBER |
| 1306892062 | Other | MA | FALLON |
| Facility Name | Location | Facility Type |
|---|---|---|
| Catholic Medical Center | Manchester, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospitalist Medicine Physicians Of New York - Patchogue Pc | 6406183821 | 43 |
| Granite State Anesthesia Partners, Llc | 6709315708 | 42 |
| Entity Name | North American Partners In Anesthesia New Hampshire Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306838701 PECOS PAC ID: 6901710946 Enrollment ID: O20031114000273 |
| Entity Name | Hospitalist Medicine Physicians Of New York - Patchogue Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366920993 PECOS PAC ID: 6406183821 Enrollment ID: O20230808001939 |
| Entity Name | Catholic Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1003692112 PECOS PAC ID: 6103897129 Enrollment ID: O20231122002805 |
| Entity Name | Granite State Anesthesia Partners, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821815010 PECOS PAC ID: 6709315708 Enrollment ID: O20250121001023 |
| Mailing Address | Practice Location Address |
|---|---|
| James Peacock, CRNA 10 Orms St, Suite 110, Providence, RI 02904-2228 Ph: (401) 453-0666 | James Peacock, CRNA 1 Medical Center Dr, Lebanon, NH 03756-1000 Ph: (603) 650-5000 |
Patrick C Keane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 215-589-0469 | |
Frederic Jon Schaafsma, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922 | |
Jeffrey C. Horstman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922 | |
Sarah Marie Zack Hewitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Anesthesiology, Lebanon, NH 03756 Phone: 603-650-5922 | |
Mr. Gustaaf Cornelis Van Soestbergen, CRNA MSN MPA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922 | |
Dr. Taylor Chase Merritt, DNAP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Department Of Anesthesiology, Lebanon, NH 03756 Phone: 603-650-5000 Fax: 603-650-5000 | |
Jennifer L Dorsey, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr # 1000, Lebanon, NH 03756 Phone: 603-650-5000 Fax: 603-650-5000 |