Dr James Vincent Bianchi Iii, DPT | |
179 Linwood Ave Unit A-4, Colchester, CT 06415-1160 | |
(860) 603-3900 | |
Not Available |
Full Name | Dr James Vincent Bianchi Iii |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 179 Linwood Ave Unit A-4, Colchester, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013630888 | NPI | - | NPPES |
LPT-32646 | Other | AZ | ARIZONA STATE BOARD OF PHYSICAL THERAPY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 13635 (Connecticut) | Primary |
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Dr James Vincent Bianchi Iii, DPT 8 Canterbury Ln Apt 2, Clinton, CT 06413-2154 Ph: (860) 304-1618 | Dr James Vincent Bianchi Iii, DPT 179 Linwood Ave Unit A-4, Colchester, CT 06415-1160 Ph: (860) 603-3900 |
Jeremy Tulledge Mitchell, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 171 Norwich Ave, Colchester, CT 06415 Phone: 860-537-3014 Fax: 860-537-1420 | |
Mrs. Rebecca Lynn Mulcahy, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 179 Linwood Ave Unit A-4, Colchester, CT 06415 Phone: 860-603-3900 |