| Talley E Slate, APRN | |
|
36 Madbury Rd, Durham, NH 03824-2021 | |
| (603) 868-5080 | |
| Not Available |
| Full Name | Talley E Slate |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 36 Madbury Rd, Durham, 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 |
|---|---|---|---|
| 1609354224 | NPI | - | NPPES |
| 3113557 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 066113-23 (New Hampshire) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cornerstone Vna | Rochester, NH | Home health agency |
| Wentworth Home Care & Hospice, An Amedisys Partner | Somersworth, NH | Home health agency |
| Wentworth-douglass Hospital | Dover, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wentworth Douglass Physician Corporation | 5496749848 | 400 |
| 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 | Pmc Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396121240 PECOS PAC ID: 0345545737 Enrollment ID: O20160223001322 |
| Mailing Address | Practice Location Address |
|---|---|
| Talley E Slate, APRN Po Box 412503, Boston, MA 02241-1639 Ph: () - | Talley E Slate, APRN 36 Madbury Rd, Durham, NH 03824-2021 Ph: (603) 868-5080 |
Allison Castonguay, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Shearwater St, Durham, NH 03824 Phone: 617-650-3397 | |
Erika Louise Blocher, A.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12 Ballard St, Durham, NH 03824 Phone: 603-862-1530 Fax: 603-862-4259 | |
Suellen O Drake, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13 Jenkins Ct Ste 247, Durham, NH 03824 Phone: 603-942-5694 Fax: 603-942-8194 | |
Patricia Anderson Campbell, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12 Ballard St, Durham, NH 03824 Phone: 603-862-1530 Fax: 603-862-4259 | |
Karin Woode, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 105 Main St, Durham, NH 03824 Phone: 603-862-2856 | |
Susan E Fratoni, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13 Jenkins Ct Ste 246, Durham, NH 03824 Phone: 603-534-7563 |