| Dr Kenneth Robert Colliton, MD | |
|
100 Grand St, New Britian, CT 06050 | |
| (860) 224-5266 | |
| Not Available |
| Full Name | Dr Kenneth Robert Colliton |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 38 Years |
| Location | 100 Grand St, New Britian, 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 |
|---|---|---|---|
| 1417965575 | NPI | - | NPPES |
| 1417965575 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 034359 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Hospital & Medical Center | Hartford, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Woodland Anesthesia Associates Pc | 8820083652 | 164 |
| Entity Name | Woodland Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437109824 PECOS PAC ID: 8820083652 Enrollment ID: O20040420000027 |
| Entity Name | North American Partners In Anesthesia Connecticut Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316994775 PECOS PAC ID: 6709877939 Enrollment ID: O20040519000120 |
| Entity Name | Connecticut Gi Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023124625 PECOS PAC ID: 9830110758 Enrollment ID: O20070112000011 |
| Entity Name | Endoscopy Center Of Connecticut, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1386757854 PECOS PAC ID: 0143226712 Enrollment ID: O20070117000018 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Robert Colliton, MD 68 S Service Rd, Suite 350, Melville, NC 22033-2921 Ph: (516) 945-3000 | Dr Kenneth Robert Colliton, MD 100 Grand St, New Britian, CT 06050 Ph: (860) 224-5266 |
David Anthony Mancini, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 100 Grand Street, New Britian, CT 06050 Phone: 516-945-3000 Fax: 516-945-3131 |