Southbury Audiology Llc | |
2 Pomperaug Office Park, Suite 307, Southbury, CT 06488-2288 | |
(203) 264-8201 | |
(203) 264-8201 |
Full Name | Southbury Audiology Llc |
---|---|
Type | Facility |
Speciality | Audiologist |
Location | 2 Pomperaug Office Park, Southbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932575610 | NPI | - | NPPES |
0123218 | Other | CT | AETNA |
4048864 | Medicaid | CT | |
730000109CT01 | Other | CT | ANTHEM BCBS |
4048674 | Medicaid | CT | |
P442727 | Other | CT | OXFORD |
001376523-001 | Other | CT | UNITED HEALTH CARE |
724745 | Other | CT | CONNECTICARE |
Provider Name | Cathleen A Alex |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1710048111 PECOS PAC ID: 7618141821 Enrollment ID: I20111129000002 |
Provider Name | Stephanie L Bakewell |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1659628931 PECOS PAC ID: 9830348291 Enrollment ID: I20121001000217 |
Mailing Address | Practice Location Address |
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Southbury Audiology Llc 2 Pomperaug Office Park, Suite 307, Southbury, CT 06488-2288 Ph: (203) 264-8201 | Southbury Audiology Llc 2 Pomperaug Office Park, Suite 307, Southbury, CT 06488-2288 Ph: (203) 264-8201 |
Brenna Catherine Crockwell, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2 Pomperaug Office Park Ste 307, Southbury, CT 06488 Phone: 203-264-8201 | |
Stephanie L. Bakewell, AUDIOLOGIST Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2 Pomperaug Office Park, Suite 307, Southbury, CT 06488 Phone: 203-264-8201 Fax: 203-264-8201 |