| Dr Bradley Harold Staehle, MD | |
|
19 Woodland St, Suite 15, Hartford, CT 06105-2372 | |
| (860) 522-1101 | |
| (860) 549-7092 |
| Full Name | Dr Bradley Harold Staehle |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 29 Years |
| Location | 19 Woodland St, Hartford, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578521522 | NPI | - | NPPES |
| 001421594 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 042159 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baystate Medical Center | Springfield, MA | Hospital |
| Baystate Noble Hospital | Westfield, MA | Hospital |
| Baystate Franklin Medical Center | Greenfield, MA | Hospital |
| Baystate Wing Hospital | Palmer, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology And Imaging Inc | 9234110479 | 56 |
| Radiology And Imaging Inc | 9234110479 | 56 |
| Entity Name | Jefferson Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795951 PECOS PAC ID: 8729982525 Enrollment ID: O20031124000161 |
| Entity Name | Radiology & Imaging Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790731008 PECOS PAC ID: 9234110479 Enrollment ID: O20040525001128 |
| Entity Name | Connecticut Imaging Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740315761 PECOS PAC ID: 4183649098 Enrollment ID: O20051011000041 |
| Entity Name | Tic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457702813 PECOS PAC ID: 4880972819 Enrollment ID: O20161026002352 |
| Entity Name | Farmington Imaging Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275987802 PECOS PAC ID: 7719265651 Enrollment ID: O20161028000552 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradley Harold Staehle, MD 19 Woodland St, Suite 15, Hartford, CT 06105-2372 Ph: (860) 522-1101 | Dr Bradley Harold Staehle, MD 19 Woodland St, Suite 15, Hartford, CT 06105-2372 Ph: (860) 522-1101 |
Timothy Stephen Boyd, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 80 Seymour St, Hartford Hospital The Gray Cancer Center, Hartford, CT 06102 Phone: 860-545-2803 Fax: 860-545-1500 | |
Bruce M. (michael) Kaplan, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 94 Woodland St, Hartford, CT 06105 Phone: 860-714-4568 Fax: 860-714-8019 | |
Dr. John P. Opalacz, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 85 Seymour St, Suite 200, Hartford, CT 06106 Phone: 860-289-3375 Fax: 860-783-5733 | |
Dr. Helaine Fannie Bertsch, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 80 Seymour St, Hartford, CT 06102 Phone: 860-545-5702 Fax: 860-545-1500 | |
Mrinal S Mali, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 85 Seymour St Ste 200, Hartford, CT 06106 Phone: 860-246-6589 Fax: 860-560-2849 | |
Dr. Hugh S. Vine, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 85 Seymour St, Suite 200, Hartford, CT 06106 Phone: 860-289-3375 Fax: 860-560-2849 | |
Dr. John F Flynn Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 203-426-3002 |