Lewis M Bader, MD | |
2660 Main St, Suite 103, Bridgeport, CT 06606-5369 | |
(203) 683-4540 | |
(203) 926-1415 |
Full Name | Lewis M Bader |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 2660 Main St, Bridgeport, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033115910 | NPI | - | NPPES |
001159870 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 015987 (Connecticut) | Primary |
Entity Name | Symphony Diagnostic Services No 1 Llc |
---|---|
Entity Type | Part B Supplier - Portable X-ray Supplier |
Entity Identifiers | NPI Number: 1700865094 PECOS PAC ID: 5193638765 Enrollment ID: O20040506000297 |
Entity Name | Kan-di-ki Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548422488 PECOS PAC ID: 5991737140 Enrollment ID: O20160121001164 |
Entity Name | Community Mobile Diagnostics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023104007 PECOS PAC ID: 4789610643 Enrollment ID: O20161003002406 |
Entity Name | Reono Bertagnolli A Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134424005 PECOS PAC ID: 6800709783 Enrollment ID: O20161012001554 |
Mailing Address | Practice Location Address |
---|---|
Lewis M Bader, MD Po Box 6128, Bridgeport, CT 06606-0128 Ph: (203) 683-4500 | Lewis M Bader, MD 2660 Main St, Suite 103, Bridgeport, CT 06606-5369 Ph: (203) 683-4540 |
Deborah X Fang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Radiation Oncology Dept., Bridgeport, CT 06606 Phone: 203-576-5085 Fax: 203-576-5445 | |
Shashi Chaddha, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-5067 | |
Kusum Hooda, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3792 | |
Bruce Andrew Mcgibbon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3168 Fax: 203-384-4137 | |
Paul A. Aiello, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4699 Main St, Bridgeport, CT 06606 Phone: 203-683-4550 Fax: 203-926-1410 | |
Dr. Bruce Kovalenko, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Department Of Diagnostic Radiology, Bridgeport, CT 06610 Phone: 203-384-3170 |