Gregory Paul Andrecyk, MD
Individual provider Active NPI Family Medicine Physician · Somersworth, NH
NPI 1790731107 · NPPES record last updated Feb 25, 2014
Key facts
- NPI
- 1790731107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 11209 (NH)
- Practice address
- 85 Main St
Somersworth, NH 03878-3111 - Phone
- (603) 692-6676
- Fax
- (603) 692-0919
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wentworth Douglass Physician Corporation
Practice addresses (Care Compare)
85 Main St Somersworth Plaza
Hilltop Family Practice
Somersworth, NH 03878-3225
Phone (603) 692-6676
Hospital & facility affiliations
- Cornerstone Vna
- Wentworth Home Care & Hospice, an Amedisys Partner
- 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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050526000407 | NH | Practitioner - Family Practice | 2365484656 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17946 | ME | MD | Family Medicine Physician |
| 11209 | NH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentworth Douglass Physician Corporation | Current |
Accepting new patients | |
| Wentworth Douglass Hospital | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Family Medicine | Current |
Accepting new patients |
| Arnett Clinic, LLC | Family Medicine | Past | Accepting new patients |
| Arnett Clinic, LLC | Past | Accepting new patients | |
| Appledore Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
| Westchester Neurological Consultant PC | Past | Accepting new patients |
Locations
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
15 Old Rollinsford Rd
Ste 204
Dover, NH 03820
Phone (603) 740-2130
10 Members Way
Ste 200
Dover, NH 03820
Phone (603) 609-6930
789 Central Ave
Ofc
Dover, NH 03820
Phone (603) 740-4478
750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030
67 Corporate Dr
Fl 3
Portsmouth, NH 03801
Phone (603) 610-8050
73 Corporate Dr
Bldg B
Portsmouth, NH 03801
Phone (603) 610-8058
85 Main St
Somersworth, NH 03878
Phone (603) 692-5552
85 Main St
Ste 1
Somersworth, NH 03878
Interoperability endpoints
- andrecyk.gregory.wdh@direct.partners.masshiway.net
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11209 | NH | Yes |
| Family Medicine Physician | 207Q00000X | MD17946 | ME |
Addresses
Primary practice location
85 Main St
Somersworth, NH 03878-3111
Mailing address
789 Central Ave
Dover, NH 03820-2526
Phone (603) 692-6676
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790731107 | Medicaid | ME | |
| 3075576 | Medicaid | NH |
Other providers in Somersworth, NH
- Kayleigh Dyan Almon
- Stephanie Alvarado
- Sonya W Alyea
- American Medical Response of Massachusetts Inc
- Yesha S Amin
- Apollo Medical Group of Wentworth PLLC
- Gregory Robert Aprilliano
- Alexander Harris Asch
- Ruth M Ashley
- John P. Athans
All providers in Somersworth, NH · Family Medicine Physician 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 Feb 25, 2014. 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.