| Brenda K Balch, MD | |
|
53 C Granite Street, New London, CT 06320 | |
| (860) 442-8817 | |
| (860) 442-2011 |
| Full Name | Brenda K Balch |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 53 C Granite Street, New London, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891895595 | NPI | - | NPPES |
| NLP071 | Other | OXFORD | |
| OV6152 | Other | HEALTH NET | |
| 001314707-00 | Other | BLUE CARE FAMILY PLAN | |
| 010031470CT01 | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 031470 (Connecticut) | Primary |
| Entity Name | Connecticut Children's Specialty Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda K Balch, MD 53 C Granite Street, New London, CT 06320 Ph: (860) 442-8817 | Brenda K Balch, MD 53 C Granite Street, New London, CT 06320 Ph: (860) 442-8817 |
Dr. Amr Ahmed Elmeki, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-422-0711 | |
James William Pellegrini, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-444-5151 | |
Brett V Citarella, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 Fax: 860-444-4740 | |
Dr. Bonnie Suzanne Mackenzie, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Owen Ehrlich, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 53 C Granite Street, New London, CT 06320 Phone: 860-442-8817 Fax: 860-442-2011 | |
Bernard A. Giserman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 53 C Granite Street, New London, CT 06320 Phone: 860-442-8817 Fax: 860-442-2011 | |
Ruth M. Lebovitz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 53 C Granite Street, New London, CT 06320 Phone: 860-442-8817 Fax: 860-442-2011 |