Ethan B Foxman, MD | |
85 Seymour St, Suite 200, Hartford, CT 06106-5501 | |
(860) 289-3375 | |
(860) 560-2849 |
Full Name | Ethan B Foxman |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 27 Years |
Location | 85 Seymour St, Hartford, 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 |
---|---|---|---|
1225014731 | NPI | - | NPPES |
010042224CT06 | Other | CT | ANTHEM BC/BS |
A2516306 | Other | CT | OXFORD |
001422245 | Medicaid | CT |
Facility Name | Location | Facility Type |
---|---|---|
Hartford Hospital | Hartford, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jefferson Radiology Pc | 8729982525 | 78 |
Entity Name | Jefferson Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396795951 PECOS PAC ID: 8729982525 Enrollment ID: O20031124000161 |
Entity Name | Connecticut Imaging Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740315761 PECOS PAC ID: 4183649098 Enrollment ID: O20051011000041 |
Entity Name | Tic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457702813 PECOS PAC ID: 4880972819 Enrollment ID: O20161026002352 |
Entity Name | Farmington Imaging Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275987802 PECOS PAC ID: 7719265651 Enrollment ID: O20161028000552 |
Entity Name | Chelmsford Mri Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356961601 PECOS PAC ID: 9537118609 Enrollment ID: O20200508000776 |
Mailing Address | Practice Location Address |
---|---|
Ethan B Foxman, MD 111 Founders Plz, Suite 400, East Hartford, CT 06108-3212 Ph: (860) 291-6554 | Ethan B Foxman, 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. John P. Opalacz, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 85 Seymour St, Suite 200, Hartford, CT 06106 Phone: 860-289-3375 Fax: 860-783-5733 | |
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 |