Dr Enrique Ballesteros, MD | |
263 Farmington Ave, Farmington, CT 06030-3985 | |
(860) 679-2980 | |
(860) 679-4334 |
Full Name | Dr Enrique Ballesteros |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 33 Years |
Location | 263 Farmington Ave, Farmington, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972594497 | NPI | - | NPPES |
1972594497 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 039969 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
John Dempsey Hospital | Farmington, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Connecticut Health Center | 3678472016 | 540 |
Entity Name | University Of Connecticut Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720083769 PECOS PAC ID: 3678472016 Enrollment ID: O20040106000105 |
Mailing Address | Practice Location Address |
---|---|
Dr Enrique Ballesteros, MD 263 Farmington Ave, Provider Enrollment, Farmington, CT 06030-2212 Ph: (860) 679-7503 | Dr Enrique Ballesteros, MD 263 Farmington Ave, Farmington, CT 06030-3985 Ph: (860) 679-2980 |
Dr. Maryam J Zenali, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2980 Fax: 860-679-4334 | |
Dr. Christopher Alan Wallace, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 270 Farmington Avenue, Suite 332, Farmington, CT 06089 Phone: 888-276-2223 Fax: 972-767-0225 | |
Dollett Tanisha White, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 11 Shuttle Rd, Farmington, CT 06032 Phone: 860-679-3980 | |
Esma Ersoy, MD Pathology Medicare: Medicare Enrolled Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2980 Fax: 860-679-4334 | |
Margaret Grunnet, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2980 Fax: 860-679-4334 | |
Christina Stanley, Pathology Medicare: Not Enrolled in Medicare Practice Location: 11 Shuttle Rd, Farmington, CT 06032 Phone: 860-679-1076 | |
Qian Wu, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2980 Fax: 860-679-4334 |