Speare Memorial Hospital is a medicare enrolled "Ophthalmology" provider in Plymouth, New Hampshire. Their current practice location is
103 Boulder Point Drive, Plymouth, New Hampshire. You can reach out to their office (for appointments etc.) via phone at
(603) 536-1284.
Speare Memorial Hospital is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Speare Memorial Hospital
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1104153535.
Healthcare Provider's Profile
| Full Name | Speare Memorial Hospital |
|---|
| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 103 Boulder Point Drive, Plymouth, New Hampshire |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104153535
- Provider Enumeration Date: 11/05/2009
- Last Update Date: 12/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 1153318068
- Enrollment ID: O20100226000358
Medical Identifiers
Medical identifiers for Speare Memorial Hospital such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104153535 | NPI | - | NPPES |
| 1017117 | Medicaid | VT | |
| 3076997 | Medicaid | NH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Speare Memorial Hospital acts as a billing entity for following providers:
| Provider Name | Paul S Musco |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1063579886
PECOS PAC ID: 7214065143
Enrollment ID: I20160106001845 |
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| Provider Name | Lance F Ough |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1821082470
PECOS PAC ID: 1254511785
Enrollment ID: I20171030001219 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Speare Memorial Hospital is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Speare Memorial Hospital
16 Hospital Rd,
Plymouth, NH 03264-1126
Ph: (603) 238-2204 | Speare Memorial Hospital
103 Boulder Point Drive,
Plymouth, NH 03264-3168
Ph: (603) 536-1284 |
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