| Anita L Bourque, MD | |
|
100 Grand St, New Britain, CT 06052-2016 | |
| (860) 224-5556 | |
| Not Available |
| Full Name | Anita L Bourque |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 41 Years |
| Location | 100 Grand St, New Britain, 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 |
|---|---|---|---|
| 1730166109 | NPI | - | NPPES |
| 001299024 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 029902 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| William W Backus Hospital | Norwich, CT | Hospital |
| The Hospital Of Central Connecticut | New britain, CT | Hospital |
| Midstate Medical Center | Meriden, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Meriden Imaging Center Inc | 4385683556 | 53 |
| Midstate Radiology Associates Llc | 4880593565 | 81 |
| Starling Physicians, Pllc | 7517863749 | 237 |
| Entity Name | Starling Physicians, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467537290 PECOS PAC ID: 7517863749 Enrollment ID: O20031209000877 |
| Entity Name | Midstate Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578518999 PECOS PAC ID: 4880593565 Enrollment ID: O20031231000543 |
| Entity Name | Diagnostic Imaging Services Of Ct Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093760431 PECOS PAC ID: 3577465111 Enrollment ID: O20040123000288 |
| Entity Name | Meriden Imaging Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508812561 PECOS PAC ID: 4385683556 Enrollment ID: O20050427000621 |
| Mailing Address | Practice Location Address |
|---|---|
| Anita L Bourque, MD 1 Liberty Sq, Po Box 217, New Britain, CT 06051-2637 Ph: (860) 827-0071 | Anita L Bourque, MD 100 Grand St, New Britain, CT 06052-2016 Ph: (860) 224-5556 |
Wanda M Kirejczyk, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-225-5556 | |
Dr. Jason Mayo, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Liberty Sq, New Britain, CT 06051 Phone: 860-827-0071 Fax: 860-229-5642 | |
Eric R Gorny, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5556 | |
Alfred G Gladstone, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06050 Phone: 860-224-5556 | |
Bennett J Kashdan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5556 | |
Joel Gelber, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5556 | |
Sidney Ulreich, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5556 |