Dr George Jeffrey Gavern, DO | |
Nvra Business Office, 385 Main St South, Southbury, CT 06488 | |
(203) 264-7999 | |
(203) 264-7477 |
Full Name | Dr George Jeffrey Gavern |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 15 Years |
Location | Nvra Business Office, Southbury, 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 |
---|---|---|---|
1073833612 | NPI | - | NPPES |
D400227516 | Other | CT | DIS |
D400227523 | Other | CT | PDI |
D400227521 | Other | CT | NVRA |
D400227511 | Other | CT | MRI |
D400227517 | Other | CT | DIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 054089 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Mary's Hospital | Waterbury, CT | Hospital |
Waterbury Hospital | Waterbury, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Diagnostic Imaging Associates Llc | 0143127241 | 11 |
Diagnostic Imaging Of Southbury | 0143127548 | 16 |
Prospect Diagnostic Imaging | 0244137214 | 11 |
Naugatuck Valley Mri Llc | 2668367756 | 7 |
Naugatuck Valley Radiological Associates Pc | 5092600189 | 15 |
Entity Name | Diagnostic Imaging Of Southbury |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245252824 PECOS PAC ID: 0143127548 Enrollment ID: O20031215000523 |
Entity Name | Diagnostic Imaging Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336161918 PECOS PAC ID: 0143127241 Enrollment ID: O20031217000292 |
Entity Name | Prospect Diagnostic Imaging |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154343739 PECOS PAC ID: 0244137214 Enrollment ID: O20031217000697 |
Entity Name | Naugatuck Valley Mri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134141716 PECOS PAC ID: 2668367756 Enrollment ID: O20040218000127 |
Entity Name | Naugatuck Valley Radiological Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114949799 PECOS PAC ID: 5092600189 Enrollment ID: O20040218000142 |
Mailing Address | Practice Location Address |
---|---|
Dr George Jeffrey Gavern, DO Nvra Business Office, 385 Main St South, Southbury, CT 06488 Ph: (203) 264-7999 | Dr George Jeffrey Gavern, DO Nvra Business Office, 385 Main St South, Southbury, CT 06488 Ph: (203) 264-7999 |
Matthew Bushey, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 385 Main St South, Union Square, Southbury, CT 06488 Phone: 203-264-7999 Fax: 203-264-7477 | |
Michael Malin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 385 Main St S, Union Square, Southbury, CT 06488 Phone: 203-264-7999 Fax: 203-264-7477 | |
Robert Gumbardo, MD Radiology Medicare: Medicare Enrolled Practice Location: 385 Main St South, Union Square, Southbury, CT 06488 Phone: 203-264-7999 Fax: 203-264-7477 | |
Laura A. Kaplan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 385 Main St S, Southbury, CT 06488 Phone: 203-264-7999 | |
Mahadevan Shetty, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 385 Main St S,, C/o Nvra Union Square Bldg#1, Southbury, CT 06488 Phone: 203-264-7999 Fax: 203-264-7477 | |
Gregory Gersten, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 385 Main St S, Union Square, Southbury, CT 06488 Phone: 203-264-7999 Fax: 203-264-7477 |