Dr Kenneth Robert Colliton, MD | |
100 Grand St, New Britian, CT 06050 | |
(860) 224-5266 | |
Not Available |
Full Name | Dr Kenneth Robert Colliton |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 36 Years |
Location | 100 Grand St, New Britian, 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 |
---|---|---|---|
1417965575 | NPI | - | NPPES |
1417965575 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 034359 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Francis Hospital & Medical Center | Hartford, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Woodland Anesthesiology Associates, P.c. | 8820083652 | 153 |
Entity Name | Woodland Anesthesiology Associates, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437109824 PECOS PAC ID: 8820083652 Enrollment ID: O20040420000027 |
Entity Name | North American Partners In Anesthesia Connecticut Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316994775 PECOS PAC ID: 6709877939 Enrollment ID: O20040519000120 |
Entity Name | Connecticut Gi Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023124625 PECOS PAC ID: 9830110758 Enrollment ID: O20070112000011 |
Entity Name | Endoscopy Center Of Connecticut, Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1386757854 PECOS PAC ID: 0143226712 Enrollment ID: O20070117000018 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Robert Colliton, MD 68 S Service Rd, Suite 350, Melville, NC 22033-2921 Ph: (516) 945-3000 | Dr Kenneth Robert Colliton, MD 100 Grand St, New Britian, CT 06050 Ph: (860) 224-5266 |
David Anthony Mancini, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 100 Grand Street, New Britian, CT 06050 Phone: 516-945-3000 Fax: 516-945-3131 |