| Dr Kenneth S Allen, MD | |
|
134 Grandview Ave, Suite 101, Waterbury, CT 06708 | |
| (203) 756-8911 | |
| (203) 574-0548 |
| Full Name | Dr Kenneth S Allen |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Ultrasound |
| Location | 134 Grandview Ave, Waterbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528025913 | NPI | - | NPPES |
| 060911608002 | Other | TRICARE | |
| OR0365 | Other | HEALTHNET | |
| 01002627CT02 | Other | ANTHEM | |
| 711609 | Other | CTCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 026221 (Connecticut) | Secondary |
| 2085U0001X | Radiology - Diagnostic Ultrasound | 026221 (Connecticut) | Primary |
| Entity Name | Diagnostic Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700837374 PECOS PAC ID: 7113939505 Enrollment ID: O20060629000386 |
| Entity Name | Valley Imaging Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493926 PECOS PAC ID: 5395749691 Enrollment ID: O20151006001290 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth S Allen, MD 134 Grandview Ave, Waterbury, CT 06708 Ph: (203) 756-8911 | Dr Kenneth S Allen, MD 134 Grandview Ave, Suite 101, Waterbury, CT 06708 Ph: (203) 756-8911 |
Anthony R Carter, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 134 Grandview Ave, Suite 101, Waterbury, CT 06708 Phone: 203-756-8911 Fax: 203-574-0548 | |
Reza Pakdaman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 56 Franklin St, Waterbury, CT 06706 Phone: 203-709-6000 | |
Duncan J Belcher, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 134 Grandview Ave, Ste 101, Waterbury, CT 06708 Phone: 203-756-8911 Fax: 203-574-0548 | |
John Deleon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 134 Grandview Ave, Ste 101, Waterbury, CT 06708 Phone: 203-756-8911 Fax: 203-574-0548 | |
Eric A Hyson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 134 Grandview Ave, Ste 101, Waterbury, CT 06708 Phone: 203-756-8911 Fax: 203-574-0548 | |
Bryan C Yen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 64 Robbins St, Waterbury, CT 06708 Phone: 203-573-7124 |