Dr John P Opalacz, MD | |
85 Seymour St, Suite 200, Hartford, CT 06106-5501 | |
(860) 289-3375 | |
(860) 783-5733 |
Full Name | Dr John P Opalacz |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 85 Seymour St, Hartford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003892340 | NPI | - | NPPES |
010022364CT01 | Other | CT | ANTHEM BC/BS |
A2516306 | Other | CT | OXFORD |
001223643 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 022364 (Connecticut) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 246163 (Massachusetts) | Secondary |
Entity Name | Connecticut Imaging Partners Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740315761 PECOS PAC ID: 4183649098 Enrollment ID: O20141201001337 |
Mailing Address | Practice Location Address |
---|---|
Dr John P Opalacz, MD 111 Founders Plz, Suite 400, East Hartford, CT 06108-3212 Ph: (860) 289-3375 | Dr John P Opalacz, MD 85 Seymour St, Suite 200, Hartford, CT 06106-5501 Ph: (860) 289-3375 |
Timothy Stephen Boyd, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 80 Seymour St, Hartford Hospital The Gray Cancer Center, Hartford, CT 06102 Phone: 860-545-2803 Fax: 860-545-1500 | |
Bruce M. (michael) Kaplan, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 94 Woodland St, Hartford, CT 06105 Phone: 860-714-4568 Fax: 860-714-8019 | |
Dr. Helaine Fannie Bertsch, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 80 Seymour St, Hartford, CT 06102 Phone: 860-545-5702 Fax: 860-545-1500 | |
Mrinal S Mali, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 85 Seymour St Ste 200, Hartford, CT 06106 Phone: 860-246-6589 Fax: 860-560-2849 | |
Edward B. Cronin, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 85 Seymour St, Suite 200, Hartford, CT 06106 Phone: 860-246-6589 Fax: 860-560-2849 | |
Dr. Hugh S. Vine, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 85 Seymour St, Suite 200, Hartford, CT 06106 Phone: 860-289-3375 Fax: 860-560-2849 |