| Dr Bernard S Jay, MD | |
|
12 Downing Way, Madison, CT 06443 | |
| (952) 595-1100 | |
| (612) 294-4903 |
| Full Name | Dr Bernard S Jay |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 12 Downing Way, Madison, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376579151 | NPI | - | NPPES |
| 001182112 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 018211 (Connecticut) | Primary |
| Entity Name | Madison Radiology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215967260 PECOS PAC ID: 9032117783 Enrollment ID: O20061114000023 |
| Entity Name | Donalsonville Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720095805 PECOS PAC ID: 7113919820 Enrollment ID: O20190314000809 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bernard S Jay, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301 | Dr Bernard S Jay, MD 12 Downing Way, Madison, CT 06443 Ph: (952) 595-1100 |
Dr. Stephen Bradley Zivin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 81 Overbrook Rd, Madison, CT 06443 Phone: 312-339-2022 | |
Bina Lilly Chaddha, MD Radiology Medicare: Medicare Enrolled Practice Location: 7 Evarts Ln, Madison, CT 06443 Phone: 952-595-1100 Fax: 612-294-4903 |