| Alexia T Koudellou, MD | |
|
Six Fieldstone Commons, Suite D, Tolland, CT 06084 | |
| (860) 871-6710 | |
| (860) 896-4869 |
| Full Name | Alexia T Koudellou |
|---|---|
| Gender | Female |
| Speciality | Gastroenterology |
| Experience | 27 Years |
| Location | Six Fieldstone Commons, Tolland, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346278066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 044946 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Manchester Memorial Hospital | Manchester, CT | Hospital |
| Rockville General Hospital | Rockville, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gastroenterology Health Associates | 5294190245 | 3 |
| Entity Name | Prospect Ct Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144677568 PECOS PAC ID: 7416244496 Enrollment ID: O20160919001322 |
| Entity Name | Gastroenterology Health Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922708015 PECOS PAC ID: 5294190245 Enrollment ID: O20230427000887 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexia T Koudellou, MD Six Fieldstone Commons, Suite D, Tolland, CT 06084 Ph: (860) 871-6710 | Alexia T Koudellou, MD Six Fieldstone Commons, Suite D, Tolland, CT 06084 Ph: (860) 871-6710 |
Harold Sandals, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 384 Merrow Rd, Tolland, CT 06084 Phone: 860-875-2099 Fax: 860-872-3021 | |
Dr. Gerald M Bayona, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 384 Merrow Rd Ste K, Tolland, CT 06084 Phone: 860-871-8851 Fax: 860-871-8852 |