| Dr Jill M Banatoski, MD | |
|
5 Pequot Park Rd, Suite 301, Westbrook, CT 06498-2856 | |
| (860) 399-6167 | |
| (860) 399-6730 |
| Full Name | Dr Jill M Banatoski |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 31 Years |
| Location | 5 Pequot Park Rd, Westbrook, 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 |
|---|---|---|---|
| 1982760542 | NPI | - | NPPES |
| 036865 | Other | CT | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036865 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yale-new Haven Hospital | New haven, CT | Hospital |
| Middlesex Hospital | Middletown, CT | Hospital |
| Lawrence & Memorial Hospital | New london, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1287 |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jill M Banatoski, MD 5 Pequot Park Rd, Suite 301, Westbrook, CT 06498-2856 Ph: (860) 399-6167 | Dr Jill M Banatoski, MD 5 Pequot Park Rd, Suite 301, Westbrook, CT 06498-2856 Ph: (860) 399-6167 |
Dr. Lara Ann Colabelli, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 5 Pequot Park Rd Ste 201a, Westbrook, CT 06498 Phone: 860-339-3350 Fax: 860-661-5027 | |
Dr. Kelly Keefe Nelson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5 Pequot Park Rd, Suite 301, Westbrook, CT 06498 Phone: 860-399-6167 Fax: 860-399-6730 |