| Dr Craig Korbin, MD | |
|
320 Pomfret St, Putnam, CT 06260-1836 | |
| (860) 963-6356 | |
| (860) 963-6335 |
| Full Name | Dr Craig Korbin |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 35 Years |
| Location | 320 Pomfret St, Putnam, 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 |
|---|---|---|---|
| 1982694774 | NPI | - | NPPES |
| 004223541 | Medicaid | CT | |
| 7100209450 | Medicaid | KY | |
| 200387190B | Medicaid | IN | |
| 300084499 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036830 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Hospital Inc | Evansville, IN | Hospital |
| Good Samaritan Hospital | Vincennes, IN | Hospital |
| Baptist Health Deaconess Madisonville | Madisonville, KY | Hospital |
| Deaconess Henderson Hospital | Henderson, KY | Hospital |
| Deaconess Gibson Hospital | Princeton, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Evansville Radiology Pc | 6406826031 | 31 |
| Evansville Radiology Pc | 6406826031 | 31 |
| Evansville Radiology Pc | 6406826031 | 31 |
| Entity Name | Evansville Radiology PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891782983 PECOS PAC ID: 6406826031 Enrollment ID: O20200803002559 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Craig Korbin, MD 350 W Columbia St Ste 420, Evansville, IN 47710-1782 Ph: (812) 422-3254 | Dr Craig Korbin, MD 320 Pomfret St, Putnam, CT 06260-1836 Ph: (860) 963-6356 |
Dr. Jack Richard Millard, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 320 Pomfret St, Department Of Radiology, Putnam, CT 06260 Phone: 860-963-6356 Fax: 860-963-6335 |