Robin John Connolly, MD | |
1825 Se Tiffany Ave, Suite 104, Port St Lucie, FL 34952-7554 | |
(772) 398-2233 | |
(772) 398-2244 |
Full Name | Robin John Connolly |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 45 Years |
Location | 1825 Se Tiffany Ave, Port St Lucie, Florida |
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 |
---|---|---|---|
1740226026 | NPI | - | NPPES |
051223100 | Medicaid | FL | |
11634 | Other | FL | BCBS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | ME57428 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Of Buffalo | Buffalo, NY | Hospital |
Kenmore Mercy Hospital | Kenmore, NY | Hospital |
Baptist Hospital | Pensacola, FL | Hospital |
Sisters Of Charity Hospital | Buffalo, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sra Medical Imaging Llc | 1759369663 | 29 |
Rapid Radiology Inc | 2062734858 | 55 |
Sra Medical Imaging Llc | 1759369663 | 29 |
Distinguished Diagnostic Imaging Pc | 9739079906 | 4 |
Entity Name | Sra Medical Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881920452 PECOS PAC ID: 1759369663 Enrollment ID: O20190403003005 |
Entity Name | Rapid Radiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619300431 PECOS PAC ID: 2062734858 Enrollment ID: O20190823001996 |
Entity Name | Southtowns Radiology Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295779072 PECOS PAC ID: 9830097542 Enrollment ID: O20190906003042 |
Mailing Address | Practice Location Address |
---|---|
Robin John Connolly, MD 2580 Nw Eventide Pl, Stuart, FL 34994-9146 Ph: (772) 398-2233 | Robin John Connolly, MD 1825 Se Tiffany Ave, Suite 104, Port St Lucie, FL 34952-7554 Ph: (772) 398-2233 |
Dr. Vijaya Vardhan Chundi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Se Tiffany Ave Ste 104, Port St Lucie, FL 34952 Phone: 772-398-2233 Fax: 772-398-2244 | |
Whitney Page, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Se Tiffany Ave Ste 104, Port St Lucie, FL 34952 Phone: 772-398-2233 | |
Dr. Mel Timtiman Lizaso, MD Radiology Medicare: Medicare Enrolled Practice Location: 1095 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986 Phone: 772-288-5890 | |
Dr. James Michael Melotek, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8980 S Us Highway 1 Ste 105, Port St Lucie, FL 34952 Phone: 772-281-3060 Fax: 772-281-3055 | |
Rochelle A Wolfe, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-335-4000 | |
Alexander N Vennos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Attention Rhonda Robertson Radiology Dept, Port St Lucie, FL 34952 Phone: 561-736-1200 Fax: 561-742-1919 | |
Alex Sarmen Mirakian, Radiology Medicare: Accepting Medicare Assignments Practice Location: 8980 S Us Highway 1 Ste 105, Port St Lucie, FL 34952 Phone: 772-281-3060 Fax: 772-281-3055 |