Alan Balavender, MS PT | |
27 Depot St, Watertown, CT 06795-2601 | |
(860) 274-4092 | |
(860) 274-4099 |
Full Name | Alan Balavender |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 27 Depot St, Watertown, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174605810 | NPI | - | NPPES |
080003638CT12 | Other | CT | ANTHEM BC BS |
080003638CT13 | Other | CT | ANTHEM BC BS |
080003638CT15 | Other | CT | BLUE SHIELD |
080003638CT09 | Other | CT | ANTHEM BLUE CROSS BLUE SH |
080003638CT10 | Other | CT | ANTHEM BC BS |
004201018 | Medicaid | CT | |
080003638CT14 | Other | CT | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 3638 (Connecticut) | Primary |
Provider Name | Anb-ptsma Holdings Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1659453371 PECOS PAC ID: 4789572926 Enrollment ID: O20100928000128 |
Mailing Address | Practice Location Address |
---|---|
Alan Balavender, MS PT 27 Depot St, Watertown, CT 06795-2601 Ph: (860) 274-4092 | Alan Balavender, MS PT 27 Depot St, Watertown, CT 06795-2601 Ph: (860) 274-4092 |
Marisa Lynn-castiglia Mancini, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 777 Echo Lake Road, Suite I, Watertown, CT 06795 Phone: 959-209-4318 | |
Paula A Conway, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27 Depot St, Suite 2, Watertown, CT 06795 Phone: 860-274-3200 Fax: 860-274-8100 | |
Terri E Baker, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27 Depot St, Suite 2, Watertown, CT 06795 Phone: 860-274-3200 Fax: 860-274-8100 | |
Gloria Christiano, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 777 Echo Lake Rd Unit I, Watertown, CT 06795 Phone: 959-209-4318 Fax: 860-209-4336 | |
Mr. Daniel Stango, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 58 Loop Rd, Watertown, CT 06795 Phone: 203-206-4576 Fax: 860-417-2457 | |
Jason Smutnick, MS, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27 Depot St, Watertown, CT 06795 Phone: 860-274-1487 Fax: 860-274-4860 | |
Jessica Franca, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 27 Depot Street, Watertown, CT 06795 Phone: 860-274-1487 Fax: 860-274-9730 |