| Dr Grace Dolores Bandow, MD | |
|
4 Corporate Dr, Shelton, CT 06484-6211 | |
| (203) 538-5682 | |
| Not Available |
| Full Name | Dr Grace Dolores Bandow |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 24 Years |
| Location | 4 Corporate Dr, Shelton, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871709147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0900X | Dermatology - Dermatopathology | 47948 (Connecticut) | Secondary |
| 207N00000X | Dermatology | 47948 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Connecticut Skinhealth Llp | 9638309362 | 38 |
| Entity Name | The Connecticut Dermatology Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699881557 PECOS PAC ID: 9032147509 Enrollment ID: O20050727000568 |
| Entity Name | Connecticut Skinhealth Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649606385 PECOS PAC ID: 9638309362 Enrollment ID: O20140225001960 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Grace Dolores Bandow, MD 4 Corporate Dr, Shelton, CT 06484-6211 Ph: (203) 538-5682 | Dr Grace Dolores Bandow, MD 4 Corporate Dr, Shelton, CT 06484-6211 Ph: (203) 538-5682 |
Dr. Heather K Hamilton, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4 Corporate Dr Ste 386, Shelton, CT 06484 Phone: 203-538-5682 Fax: 203-538-5685 | |
Dr. Katherine Thompson Burke, MD Dermatology Medicare: Medicare Enrolled Practice Location: 4 Corporate Dr Ste 386, Shelton, CT 06484 Phone: 203-538-5682 | |
Dr. Loyd S Godwin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4 Corporate Dr., Suite 386, Shelton, CT 00648 Phone: 203-538-5682 Fax: 203-538-5685 |