Dr Suls Family & Sports Medicine - Medicare Primary Care in Bedford, NH

Dr Suls Family & Sports Medicine is a medicare enrolled primary clinic (Family Medicine) in Bedford, New Hampshire. The current practice location for Dr Suls Family & Sports Medicine is 20 Washington Pl Ste 3, Bedford, New Hampshire. For appointments, you can reach them via phone at (603) 622-2112. The mailing address for Dr Suls Family & Sports Medicine is 20 Washington Pl Ste 3, Bedford, New Hampshire and phone number is (603) 622-2112.

Dr Suls Family & Sports Medicine is licensed to practice in New Hampshire (license number 9753). The clinic also participates in the medicare program and its NPI number is 1851396006. 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) 622-2112.

Contact Information

Dr Suls Family & Sports Medicine
20 Washington Pl Ste 3
Bedford
NH 03110-6743
(603) 622-2112
(603) 624-1570

Primary Care Clinic Profile

Full NameDr Suls Family & Sports Medicine
SpecialityFamily Medicine
Location20 Washington Pl Ste 3, Bedford, New Hampshire
Authorized Official Name and PositionHoward Lee Suls (OWNER)
Authorized Official Contact6036222112
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Suls Family & Sports Medicine
20 Washington Pl Ste 3
Bedford
NH 03110-6743

Ph: (603) 622-2112
Dr Suls Family & Sports Medicine
20 Washington Pl Ste 3
Bedford
NH 03110-6743

Ph: (603) 622-2112

NPI Details:

NPI Number1851396006
Provider Enumeration Date06/15/2005
Last Update Date06/27/2019

Medicare PECOS Information:

Medicare PECOS PAC ID5092796789
Medicare Enrollment IDO20040527001221

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Medical Identifiers

Medical identifiers for Dr Suls Family & Sports Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851396006NPI-NPPES
55970OtherNHCIGNS VENDER #
CK3214OtherNHRR MEDICARE
2567744OtherNHOXFORD
30211159MedicaidNH
M17742OtherNHBCBS OF MASSACHUSETTS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 9753 (New Hampshire)Primary
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 9753 (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. Dr Suls Family & Sports Medicine acts as a billing entity for following providers:
Provider NameHoward L Suls
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336144682
PECOS PAC ID: 9234110925
Enrollment ID: I20050622001114

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Provider NameCharlotte Phaneuf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770928582
PECOS PAC ID: 5597999813
Enrollment ID: I20130927000590

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