Dr Jonathan D Levine, MD | |
28 Crescent St, Middletown, CT 06457-3654 | |
(860) 344-6174 | |
(860) 344-6062 |
Full Name | Dr Jonathan D Levine |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 39 Years |
Location | 28 Crescent St, Middletown, 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 |
---|---|---|---|
1649200064 | NPI | - | NPPES |
5024698 | Other | CT | CIGNA# |
4832 | Other | CT | CONNECTICARE# |
500HBL066CT01 | Other | CT | BC/BS# |
0004400862 | Other | CT | AETNA/US HEALTHCARE# |
001314814P1 | Other | CT | BLUE CARE FAMILY PLAN# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 031481 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Middlesex Hospital | Middletown, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Connecticut Pathology Group, P.c. | 2769555978 | 4 |
Entity Name | Connecticut Pathology Group, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740219625 PECOS PAC ID: 2769555978 Enrollment ID: O20080722000230 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan D Levine, MD Po Box 1590, New Haven, CT 06506-1590 Ph: (203) 397-8000 | Dr Jonathan D Levine, MD 28 Crescent St, Middletown, CT 06457-3654 Ph: (860) 344-6174 |
Dr. Nathan Collins Walk, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 28 Crescent St, Middlesex Hospital, Middletown, CT 06457 Phone: 860-358-6175 | |
Dr. Joseph Semple, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 28 Crescent St, Middletown, CT 06457 Phone: 860-344-6174 Fax: 860-344-6062 | |
Dr. Daniel Niejadlik, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 28 Crescent St, Middletown, CT 06457 Phone: 860-344-6174 Fax: 860-344-6062 | |
Dr. Barry Pearson, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 28 Crescent St, Middletown, CT 06457 Phone: 860-344-6174 Fax: 860-344-6062 |