Genesis Eldercare Physician Services LLC - Medicare Primary Care in Concord, NH

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Genesis Eldercare Physician Services LLC is a medicare enrolled primary clinic (Internal Medicine - Geriatric Medicine) in Concord, New Hampshire. The current practice location for Genesis Eldercare Physician Services LLC is 239 Pleasant St, Pleasant View Nursing Center, Concord, New Hampshire. For appointments, you can reach them via phone at (603) 224-6561. The mailing address for Genesis Eldercare Physician Services LLC is Po Box 62946, Baltimore, Maryland and phone number is (410) 494-7607.

Genesis Eldercare Physician Services LLC is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1821011792. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (603) 224-6561.

Contact Information

Genesis Eldercare Physician Services LLC
239 Pleasant St
Pleasant View Nursing Center
Concord
NH 03301
(603) 224-6561
(603) 224-8530

Map and Direction


Primary Care Clinic Profile

Full NameGenesis Eldercare Physician Services LLC
SpecialityInternal Medicine
Location239 Pleasant St, Concord, New Hampshire
Authorized Official Name and PositionEric Shapiro (VP, CONTROLLER)
Authorized Official Contact4108327790
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Genesis Eldercare Physician Services LLC
Po Box 62946
Baltimore
MD 21264-2946

Ph: (410) 494-7607		Genesis Eldercare Physician Services LLC
239 Pleasant St
Pleasant View Nursing Center
Concord
NH 03301

Ph: (603) 224-6561

NPI Details:

NPI Number1821011792
Provider Enumeration Date07/25/2006
Last Update Date08/05/2019

Medicare PECOS Information:

Medicare PECOS PAC ID9830002534
Medicare Enrollment IDO20040224000821

Medical Identifiers

Medical identifiers for Genesis Eldercare Physician Services LLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821011792NPI-NPPES
30212261MedicaidNH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine ()Primary
363LG0600XNurse Practitioner - Gerontology 045267-23-03 (New Hampshire)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Genesis Eldercare Physician Services LLC acts as a billing entity for following providers:
Provider NameMagued Y Rizkalla Hanna
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538259502
PECOS PAC ID: 4587685441
Enrollment ID: I20051207000954
Provider NameCaitlin Odonnell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477514610
PECOS PAC ID: 9830105493
Enrollment ID: I20060306000767
Provider NamePatricia J Cousens
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1457393274
PECOS PAC ID: 5597778183
Enrollment ID: I20060727000107
Provider NameVercin S Ephrem
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366468928
PECOS PAC ID: 2961405741
Enrollment ID: I20060816000557
Provider NameKasra Djalayer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093816761
PECOS PAC ID: 4789789983
Enrollment ID: I20070417000477
Provider NameCharanjit Reddy Veeramalla
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114098852
PECOS PAC ID: 4284730680
Enrollment ID: I20090303000196
Provider NameAyobami O Ojutalayo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396907812
PECOS PAC ID: 9133305410
Enrollment ID: I20110523000042
Provider NameJulianne Murthi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205825296
PECOS PAC ID: 6204805070
Enrollment ID: I20120202000268
Provider NameHailey Elizabeth Paige
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1699031419
PECOS PAC ID: 6103082904
Enrollment ID: I20120724000036
Provider NameMeghan C Baron
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1528318565
PECOS PAC ID: 2769634229
Enrollment ID: I20121207000054
Provider NameMarva F Murphy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407941420
PECOS PAC ID: 4981640364
Enrollment ID: I20130708000384
Provider NameLouise E Dias
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1063614188
PECOS PAC ID: 8527152131
Enrollment ID: I20131114002011
Provider NameAlan Chernev
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1780690438
PECOS PAC ID: 9335231166
Enrollment ID: I20140515000361
Provider NameHaris Bilal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821379512
PECOS PAC ID: 0749503167
Enrollment ID: I20141216000574
Provider NameJoshua a Toll
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871767848
PECOS PAC ID: 9234358730
Enrollment ID: I20151106001720
Provider NameMelinda Halstead
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457705675
PECOS PAC ID: 7416249354
Enrollment ID: I20160713000817
Provider NameBrian Trezak
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003913526
PECOS PAC ID: 1759331168
Enrollment ID: I20160928001206
Provider NameLudovic Duffroy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932655032
PECOS PAC ID: 6608155874
Enrollment ID: I20161110000526
Provider NameJennifer Mcfadden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023553344
PECOS PAC ID: 1355623570
Enrollment ID: I20170124002068
Provider NameJatinder Aujla
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275700825
PECOS PAC ID: 7214000207
Enrollment ID: I20170518001622
Provider NameBonnie Lapierre
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326552308
PECOS PAC ID: 8628338977
Enrollment ID: I20180205001800
Provider NameKathryn M Carson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457830903
PECOS PAC ID: 9830442326
Enrollment ID: I20181031000297
Provider NameErika S Goguen
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1295237527
PECOS PAC ID: 7012251838
Enrollment ID: I20181205002980
Provider NameJonathan D Polak
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659750560
PECOS PAC ID: 6800195868
Enrollment ID: I20190424000488
Provider NameAllyson Disilva
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1952772329
PECOS PAC ID: 1355641739
Enrollment ID: I20190610001366
Provider NameShannon Malcuit
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134575491
PECOS PAC ID: 0941592224
Enrollment ID: I20190618001776
Provider NameNelson K Aweh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891923199
PECOS PAC ID: 0749423507
Enrollment ID: I20190730002093
Provider NameStacie Leigh Reece
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306491816
PECOS PAC ID: 3870821309
Enrollment ID: I20190822000414
Provider NameAmanda Hernandez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891062691
PECOS PAC ID: 4880847102
Enrollment ID: I20200303000962
Provider NameRoni Conlon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871143545
PECOS PAC ID: 0648604918
Enrollment ID: I20200324002495
Provider NameEllen Alexina Boone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477144921
PECOS PAC ID: 6608280672
Enrollment ID: I20210203000240
Provider NameMichael Sorrenti
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1174027809
PECOS PAC ID: 4789931734
Enrollment ID: I20210518000698
Provider NameEryn B Plata
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1720301815
PECOS PAC ID: 8123294899
Enrollment ID: I20210610003399
Provider NameHannah Grace Ruede
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386202687
PECOS PAC ID: 4880923820
Enrollment ID: I20210629000569
Provider NameHeather Paterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598364929
PECOS PAC ID: 3375947922
Enrollment ID: I20210804003235
Provider NameJulie Rainville
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104089572
PECOS PAC ID: 3072763168
Enrollment ID: I20211104003083
Provider NamePaula Marie Clements
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700549292
PECOS PAC ID: 7416340120
Enrollment ID: I20220201002293
Provider NameJennifer Boyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932650082
PECOS PAC ID: 7517244783
Enrollment ID: I20220204002223
Provider NameMark Boren
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1790324002
PECOS PAC ID: 2961899539
Enrollment ID: I20220428002610
Provider NameSaritha Laxmi Katta
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033679550
PECOS PAC ID: 7618353533
Enrollment ID: I20221017001154
Provider NameColleen Goetz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619351624
PECOS PAC ID: 1254630981
Enrollment ID: I20221025002294
Provider NameStephanie Meyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215642400
PECOS PAC ID: 3476925959
Enrollment ID: I20230209001083
Provider NameBrooke Cloutier
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1972174092
PECOS PAC ID: 2961807144
Enrollment ID: I20230421001683
Provider NameMichelle Humphrey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831892033
PECOS PAC ID: 7214393909
Enrollment ID: I20230523001332
Provider NameElizabeth Rita Barnes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962157537
PECOS PAC ID: 7719365097
Enrollment ID: I20230530000217
Provider NameYeonsoo Kim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518526375
PECOS PAC ID: 9133586233
Enrollment ID: I20230606000228
Provider NameHanna Lein
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1750796272
PECOS PAC ID: 1557724119
Enrollment ID: I20230829004229
Provider NameAdel El Boueiz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609010180
PECOS PAC ID: 8921251000
Enrollment ID: I20240412001575
Provider NameKrista Mastrogiacomo
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1528745403
PECOS PAC ID: 8224572854
Enrollment ID: I20240706000442
Provider NameVanessa Mccrum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669206520
PECOS PAC ID: 2264973205
Enrollment ID: I20240918002075
Provider NameLauren Demaris
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124640107
PECOS PAC ID: 5991239527
Enrollment ID: I20241105002755
Provider NameKelly Kratman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467258475
PECOS PAC ID: 7911421094
Enrollment ID: I20250410000947
Provider NameShelby Ann Eiler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093384802
PECOS PAC ID: 9638696644
Enrollment ID: I20250502002273
Provider NameErica Lynn Beers Peery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356904114
PECOS PAC ID: 7618494436
Enrollment ID: I20250506001056
Provider NameNicole Biehle
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1942719463
PECOS PAC ID: 6406365857
Enrollment ID: I20250605001626
Provider NameAshley Elisabeth Grey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457246175
PECOS PAC ID: 3375055023
Enrollment ID: I20250626002276
Provider NameDara L Sayer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598641870
PECOS PAC ID: 8022518885
Enrollment ID: I20250826000462
Provider NameCarolyn J Benway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356234520
PECOS PAC ID: 9032695861
Enrollment ID: I20260112002483
Provider NameChristina Maria Dagostino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922842780
PECOS PAC ID: 7012494586
Enrollment ID: I20260127002052
Provider NameShayna Cote
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659184620
PECOS PAC ID: 6901392273
Enrollment ID: I20260317002370
Provider NameElizabeth Dougherty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841310364
PECOS PAC ID: 2860445921
Enrollment ID: I20260330001343

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.