| Tracey Damon, APRN | |
|
333 Borthwick Ave Ste 100, Portsmouth, NH 03801-4198 | |
| (603) 436-5110 | |
| Not Available |
| Full Name | Tracey Damon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 333 Borthwick Ave Ste 100, Portsmouth, 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 |
|---|---|---|---|
| 1184418311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0701-46-23 (New Hampshire) | Primary |
| Entity Name | Intensive Care Consortium Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629019062 PECOS PAC ID: 0244269413 Enrollment ID: O20150915000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Damon, APRN 8 Whittaker Dr, Stratham, NH 03885-2278 Ph: (603) 498-5418 | Tracey Damon, APRN 333 Borthwick Ave Ste 100, Portsmouth, NH 03801-4198 Ph: (603) 436-5110 |
Jill Capobianco, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Campus Dr, Suite 12, Portsmouth, NH 03801 Phone: 603-422-8208 Fax: 603-422-8219 | |
Ms. Anne Mcgann, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 Borthwick Ave, Suite 202, Portsmouth, NH 03801 Phone: 603-436-7171 | |
Krystle Lee Disorbo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3201 Lafayette Rd, Portsmouth, NH 03801 Phone: 603-380-9159 | |
Vanessa R Amatucci, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 67 Corporate Dr, Portsmouth, NH 03801 Phone: 603-610-8051 | |
Heidi J Tzizik, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 599 Lafayette Rd, Portsmouth, NH 03801 Phone: 603-942-7900 Fax: 603-630-1009 | |
Sarah Elizabeth Boyatsis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Griffin Rd Ste 15, Portsmouth, NH 03801 Phone: 603-373-0096 | |
Kaitlin Elizabeth Stolberg Cohen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 188 Jones Ave, Portsmouth, NH 03801 Phone: 603-431-2530 |