| Jason L Greenbaum, MD | |
|
30 Shelburne Rd, Stamford, CT 06902-3628 | |
| (330) 493-4443 | |
| (330) 493-8677 |
| Full Name | Jason L Greenbaum |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 24 Years |
| Location | 30 Shelburne Rd, Stamford, 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 |
|---|---|---|---|
| 1649205493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301082237 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 44305 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Athol Memorial Hospital | Athol, MA | Hospital |
| Heywood Hospital - | Gardner, MA | Hospital |
| The Hospital Of Central Connecticut | New britain, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Heywood Memorial Hospital | 1658262605 | 85 |
| Entity Name | Henry Heywood Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205823879 PECOS PAC ID: 1658262605 Enrollment ID: O20040322000360 |
| Entity Name | Athol Memorial Hospital Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336120047 PECOS PAC ID: 7911959846 Enrollment ID: O20050218000228 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason L Greenbaum, MD 27 Sussex Pl, Stamford, CT 06905-2931 Ph: (646) 242-3799 | Jason L Greenbaum, MD 30 Shelburne Rd, Stamford, CT 06902-3628 Ph: (330) 493-4443 |
Dr. Alexandr Rafailov, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 30 Shelburne Rd, Stamford, CT 06902 Phone: 203-276-7777 | |
Dr. Sarah Marie Vitello, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Shelburne Rd, Stamford, CT 06902 Phone: 203-276-1000 | |
Romulo V Vasquez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 Washington Blvd, Stamford, CT 06902 Phone: 203-276-2472 Fax: 203-276-4594 | |
Dr. Nitin Kuppanda, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Plz, Stamford, CT 06902 Phone: 203-276-1000 | |
Jomo Coddett, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Shelburne Rd, Stamford, CT 06902 Phone: 330-493-4443 Fax: 330-493-8677 | |
Dr. Scott Raymond Martin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 29 Hospital Plz Ste 502, Stamford, CT 06902 Phone: 203-348-7410 Fax: 203-276-2324 | |
Dr. Tiphany Alexandrea Jolly, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Shelburne Road, Stamford, CT 06902 Phone: 203-276-7777 |