| Dr Bruce Kovalenko, MD | |
|
267 Grant St, Department Of Diagnostic Radiology, Bridgeport, CT 06610-2805 | |
| (203) 384-3170 | |
| Not Available |
| Full Name | Dr Bruce Kovalenko |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 19 Years |
| Location | 267 Grant St, Bridgeport, 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 |
|---|---|---|---|
| 1366769499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 050638 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cheshire Medical Center | Keene, NH | Hospital |
| Monadnock Community Hospital | Peterborough, NH | Hospital |
| Mary Hitchcock Memorial Hospital | Lebanon, NH | Hospital |
| Brattleboro Memorial Hospital | Brattleboro, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Associates Of Keene Pc | 5698871960 | 4 |
| Entity Name | Radiology Associates Of Keene Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023074390 PECOS PAC ID: 5698871960 Enrollment ID: O20070502000500 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce Kovalenko, MD 28 Crescent St, Department Of Diagnostic Radiology, Middletown, CT 06457-3654 Ph: (860) 358-6293 | Dr Bruce Kovalenko, MD 267 Grant St, Department Of Diagnostic Radiology, Bridgeport, CT 06610-2805 Ph: (203) 384-3170 |
Lewis M Bader, MD Radiology Medicare: Medicare Enrolled Practice Location: 2660 Main St, Suite 103, Bridgeport, CT 06606 Phone: 203-683-4540 Fax: 203-926-1415 | |
Deborah X Fang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Radiation Oncology Dept., Bridgeport, CT 06606 Phone: 203-576-5085 Fax: 203-576-5445 | |
Shashi Chaddha, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-5067 | |
Kusum Hooda, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3792 | |
Bruce Andrew Mcgibbon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3168 Fax: 203-384-4137 | |
Paul A. Aiello, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4699 Main St, Bridgeport, CT 06606 Phone: 203-683-4550 Fax: 203-926-1410 |