| Mary Shupe, | |
|
58 Hawthorne Dr, Bedford, NH 03110-6912 | |
| (603) 622-8619 | |
| Not Available |
| Full Name | Mary Shupe |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Pediatrics |
| Location | 58 Hawthorne Dr, Bedford, 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 |
|---|---|---|---|
| 1487830295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0200X | Registered Nurse - Pediatrics | 231472 (Massachusetts) | Secondary |
| 163WP0200X | Registered Nurse - Pediatrics | 062997-23 (New Hampshire) | Primary |
| Entity Name | Mary Hitchcock Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258 |
| Entity Name | Dartmouth-hitchcock Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Shupe, 58 Hawthorne Dr, Bedford, NH 03110-6912 Ph: (603) 622-8619 | Mary Shupe, 58 Hawthorne Dr, Bedford, NH 03110-6912 Ph: (603) 622-8619 |
Cristy Anne Robertson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 S River Rd, Bedford, NH 03110 Phone: 603-644-1275 | |
Jaclene Raymond, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 160 S River Rd Ste 100, Bedford, NH 03110 Phone: 603-647-0494 Fax: 603-647-0493 | |
Grace Goyette, APRN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 201 Riverway Pl, Bedford, NH 03110 Phone: 603-668-8400 | |
Juliana Stiegele Pires, PMHNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 10 Chestnut Dr Unit M, Bedford, NH 03110 Phone: 617-600-4506 | |
Caitlin L Farrar, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 25 Ridgewood Rd, Bedford, NH 03110 Phone: 603-623-8805 | |
Christine Christophersen, APRN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 25 Leavey Dr, Bedford, NH 03110 Phone: 603-663-3740 | |
Lauren Pedro, APRN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 5 Washington Pl Ste 1a, Bedford, NH 03110 Phone: 603-663-8060 |