Dr Paul Allen Pudimat, MD | |
61 Emerald Glen Rd, Salem, CT 06420-4123 | |
(860) 887-9053 | |
(860) 887-9073 |
Full Name | Dr Paul Allen Pudimat |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 38 Years |
Location | 61 Emerald Glen Rd, Salem, 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 |
---|---|---|---|
1669450102 | NPI | - | NPPES |
001573935 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 037393 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
William W Backus Hospital | Norwich, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integrated Anesthesia Associates Llc | 1759281165 | 391 |
North American Partners In Anesthesia Connecticut Pc | 6709877939 | 42 |
Entity Name | Windham Community Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023191467 PECOS PAC ID: 2961309059 Enrollment ID: O20031217000231 |
Entity Name | Integrated Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881636397 PECOS PAC ID: 1759281165 Enrollment ID: O20040112000163 |
Entity Name | The William W Backus Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739 |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul Allen Pudimat, MD 3998 Fair Ridge Drive, Suite 300, Fairfax, VA 22033 Ph: (703) 295-9360 | Dr Paul Allen Pudimat, MD 61 Emerald Glen Rd, Salem, CT 06420-4123 Ph: (860) 887-9053 |
Dr. Mary Ann S Pudimat, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 61 Emerald Glen Lane, Salem, CT 06420 Phone: 860-887-9073 Fax: 860-887-9073 |