Lilly Friedman
Individual provider Active NPI Physician Assistant · Raymond, NH
NPI 1194587113 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1194587113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 6 Old Fremont Rd
Raymond, NH 03077 - Phone
- (603) 298-6617
- NPI assigned
- Jan 25, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Derry Medical Center, PA
Practice addresses (Care Compare)
6 Tsienneto Rd
Suite 100
Derry, NH 03038-1584
Phone (603) 537-1300
Hospital & facility affiliations
- Amedisys Home Health
- Portsmouth Regional Hospital
- Wentworth-Douglass Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241106001470 | NH | Practitioner - Physician Assistant | 6709310295 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2884 | NH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
6 Old Fremont Rd
Raymond, NH 03077
Mailing address
6 Old Fremont Rd
Raymond, NH 03077
Phone (603) 637-1300
Other providers in Raymond, NH
- Jason G. Emmick
- James R Engels
- Amy Faust
- Focus Path, LLC
- Chantel French
- Douglas Stewart Fritz
- From the Ground Up OT LLC
- Jason Garon
- GBL Enterprises Inc.
- Genoa Healthcare LLC
All providers in Raymond, NH · Physician Assistant in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.