| Southbury Audiology Llc | |
|
2 Pomperaug Office Park, Suite 307, Southbury, CT 06488-2288 | |
| (203) 264-8201 | |
| (203) 264-8201 |
| Full Name | Southbury Audiology Llc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 2 Pomperaug Office Park, Southbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932575610 | NPI | - | NPPES |
| 0123218 | Other | CT | AETNA |
| 4048864 | Medicaid | CT | |
| 730000109CT01 | Other | CT | ANTHEM BCBS |
| 4048674 | Medicaid | CT | |
| P442727 | Other | CT | OXFORD |
| 001376523-001 | Other | CT | UNITED HEALTH CARE |
| 724745 | Other | CT | CONNECTICARE |
| Provider Name | Cathleen A Alex |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710048111 PECOS PAC ID: 7618141821 Enrollment ID: I20111129000002 |
| Provider Name | Stephanie L Bakewell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659628931 PECOS PAC ID: 9830348291 Enrollment ID: I20121001000217 |
| Provider Name | Brenna C Crockwell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598501918 PECOS PAC ID: 4183162944 Enrollment ID: I20240813000058 |
| Mailing Address | Practice Location Address |
|---|---|
| Southbury Audiology Llc 2 Pomperaug Office Park, Suite 307, Southbury, CT 06488-2288 Ph: (203) 264-8201 | Southbury Audiology Llc 2 Pomperaug Office Park, Suite 307, Southbury, CT 06488-2288 Ph: (203) 264-8201 |
Brenna Catherine Crockwell, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 2 Pomperaug Office Park Ste 307, Southbury, CT 06488 Phone: 203-264-8201 | |
Stephanie L. Bakewell, AUDIOLOGIST Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2 Pomperaug Office Park, Suite 307, Southbury, CT 06488 Phone: 203-264-8201 Fax: 203-264-8201 |