Dr Quazi T Islam, MD | |
515 Middle Tpke W, Manchester, CT 06040-3816 | |
(860) 533-4176 | |
Not Available |
Full Name | Dr Quazi T Islam |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 39 Years |
Location | 515 Middle Tpke W, Manchester, 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 |
---|---|---|---|
1023111879 | NPI | - | NPPES |
236846 | Medicaid | NY | |
236846 | Other | NY | DOH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 236846 (New York) | Secondary |
207Q00000X | Family Medicine | 38371 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prohealth Physicians Pc | 1355246950 | 217 |
Entity Name | Prohealth Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
Mailing Address | Practice Location Address |
---|---|
Dr Quazi T Islam, MD 515 Middle Tpke W, Manchester, CT 06040-3816 Ph: (860) 533-4176 | Dr Quazi T Islam, MD 515 Middle Tpke W, Manchester, CT 06040-3816 Ph: (860) 533-4176 |
Dr. Barbara Louise Phillips, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 574 Middle Tpke E, Manchester, CT 06040 Phone: 860-646-4334 Fax: 860-646-7020 | |
Gordon Brodie, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 375 E Center St, Manchester, CT 06040 Phone: 860-646-0166 Fax: 860-643-7574 | |
Dr. Sheenay Kendra Pryce, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 515 Middle Tpke W, Manchester, CT 06040 Phone: 860-533-4175 | |
Dr. Brad Brooks, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 E Center St, Manchester, CT 06040 Phone: 860-533-0179 Fax: 866-603-4163 | |
Mr. Serge Peter Poulin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 315 E. Center St, Manchester, CT 06040 Phone: 860-649-6900 Fax: 860-647-0469 | |
Kelli Harper, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-646-1222 |