| Ms Jessica Lynne Clough, CRNA | |
|
789 Central Ave., Dover, NH 03820-2526 | |
| (603) 609-6819 | |
| (603) 609-6821 |
| Full Name | Ms Jessica Lynne Clough |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 789 Central Ave., Dover, New Hampshire |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578709788 | NPI | - | NPPES |
| 3082050 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 046604-23 (New Hampshire) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wentworth-douglass Hospital | Dover, NH | Hospital |
| Anna Jaques Hospital | Newburyport, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wentworth Douglass Physician Corporation | 5496749848 | 400 |
| Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is | 6305749987 | 495 |
| Entity Name | Wentworth Douglass Physician Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447352430 PECOS PAC ID: 5496749848 Enrollment ID: O20040409000433 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jessica Lynne Clough, CRNA 789 Central Ave, Dover, NH 03820-2526 Ph: (603) 609-6819 | Ms Jessica Lynne Clough, CRNA 789 Central Ave., Dover, NH 03820-2526 Ph: (603) 609-6819 |
Jennifer L Howard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-609-6819 Fax: 603-609-6821 | |
Philip Lynwood Kearse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-609-6819 Fax: 603-609-6821 | |
Barbara Anna Cronin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 50 Bellamy Rd, Dover, NH 03820 Phone: 603-617-8607 | |
Belinda A Alcaraz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 789 Central Ave, Wentworth-douglass Hospital, Dover, NH 03820 Phone: 603-609-6819 Fax: 603-609-6821 | |
Sarah C Suri, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-609-6819 Fax: 603-609-6821 | |
Carolyn Canlas, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-742-5252 | |
Sasha Thomas, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-609-6819 Fax: 600-360-9682 |