James R. Fecteau, M.D.

Individual provider Active NPI Psychiatry Physician · Rye, NH

NPI 1225255409 · NPPES record last updated Jul 30, 2015

Key facts

NPI
1225255409
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
NH8007 (NH)
Practice address
1247 Washignton Road
Suite 25
Rye, NH 03870
Phone
(603) 772-3322
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Psychiatry
Education
Other, 1981
Medicare assignment
May accept Medicare assignment
Group practices
SBH-Green Bay LLC (7 clinicians)

Practice addresses (Care Compare)

1351 Ontario Rd
Green Bay, WI 54311-8302
Phone (920) 328-1220

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180206001535 WI Practitioner - Psychiatry 9234223520 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NH8007NHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SBH-Green Bay LLC Psychiatry Current
since Jan 1, 2018
Accepting new patients

Locations

1351 Ontario Rd
Green Bay, WI 54311
Phone (920) 328-1220

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NH8007 NH Yes

Addresses

Primary practice location

1247 Washignton Road
Suite 25
Rye, NH 03870

Mailing address

1247 Washington Rd
Rye, NH 03870-2346
Phone (603) 772-3322

Other providers in Rye, NH

All providers in Rye, NH · Psychiatry Physician in New Hampshire

Sources for this page

Verify at the official NPI Registry.