| Integrated Wound Care New Hampshire Pllc | |
|
928 South St Portsmouth NH 03801-5421 | |
| (718) 963-3495 | |
| Not Available |
| Full Name | Integrated Wound Care New Hampshire Pllc |
|---|---|
| Speciality | General Practice |
| Location | 928 South St, Portsmouth, New Hampshire |
| Authorized Official Name and Position | Diane Lusas (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7189633495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Wound Care New Hampshire Pllc 492c Cedar Ln Ste 514 Teaneck NJ 07666-1713 Ph: () - | Integrated Wound Care New Hampshire Pllc 928 South St Portsmouth NH 03801-5421 Ph: (718) 963-3495 |
| NPI Number | 1033983127 |
|---|---|
| Provider Enumeration Date | 11/09/2023 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 5799135166 |
|---|---|
| Medicare Enrollment ID | O20231227001858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033983127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Erin Michelle Lacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225585276 PECOS PAC ID: 7416236682 Enrollment ID: I20190828001769 |
| Provider Name | Carlo Kariuki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932746013 PECOS PAC ID: 3375921810 Enrollment ID: I20240109001107 |
| Provider Name | Diane Lusas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730475658 PECOS PAC ID: 9032430640 Enrollment ID: I20240109002138 |
Wentworth Douglass Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 Corporate Dr Ste 300, Portsmouth, NH 03801 Phone: 603-742-2163 | |
Convenientmd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Woodbury Ave, Portsmouth, NH 03801 Phone: 603-602-9070 | |
Portsmouth Primary Care Asso Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Borthwick Ave, Suite 210, Portsmouth, NH 03801 Phone: 603-436-5455 Fax: 603-433-1985 | |
Appledore Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 Manchester Sq, Unit 1, Portsmouth, NH 03801 Phone: 603-431-2516 Fax: 603-431-9945 | |
Convenientmd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Woodbury Ave, Portsmouth, NH 03801 Phone: 603-602-9070 | |
Greater Seacoast Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8 Greenleaf Woods Dr, Portsmouth, NH 03801 Phone: 603-422-8208 Fax: 603-422-8218 |