| Jason O Lee, MD | |
|
836 Farmington Avenue, Suite 207, West Hartford, CT 06119 | |
| (860) 232-9911 | |
| (860) 233-5996 |
| Full Name | Jason O Lee |
|---|---|
| Gender | Male |
| Speciality | Allergy/immunology |
| Experience | 31 Years |
| Location | 836 Farmington Avenue, West Hartford, 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 |
|---|---|---|---|
| 1760463400 | NPI | - | NPPES |
| 043518 | Other | AETNA | |
| 001386540 | Medicaid | CT | |
| 00138654000 | Medicaid | CT | |
| 1179424002 | Other | CIGNA | |
| 004394508 | Other | MEDICAID GROUP CAAC | |
| 224829 | Other | PREFERRED ONE | |
| 038654 | Other | CONNECTICARE | |
| OV7942 | Medicaid | CT | |
| P2666151 | Other | OXFORD | |
| 010038654CT01 | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207KI0005X | Allergy & Immunology - Clinical & Laboratory Immunology | 038654 (Connecticut) | Secondary |
| 207K00000X | Allergy & Immunology | 038654 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Middlesex Hospital | Middletown, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Connecticut Asthma And Allergy Center Llc | 4082603543 | 8 |
| Entity Name | Connecticut Children's Specialty Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
| Entity Name | Connecticut Asthma & Allergy Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386604270 PECOS PAC ID: 4082603543 Enrollment ID: O20040510000851 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason O Lee, MD 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 Ph: (860) 232-9911 | Jason O Lee, MD 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 Ph: (860) 232-9911 |
Robert M Bedard, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 Phone: 860-232-9911 Fax: 860-233-5996 | |
Daniel Kordansky, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 12 N Main St, West Hartford, CT 06107 Phone: 860-233-2444 | |
Jeffrey M Factor, MD Allergy & Immunology Medicare: May Accept Medicare Assignments Practice Location: 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 Phone: 860-232-9911 Fax: 860-233-5996 | |
Shayna Beth Burke, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 928 Farmington Ave, West Hartford, CT 06107 Phone: 860-233-6293 Fax: 860-236-7223 | |
Jasmine M Abbosh, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 836 Farmington Ave, Suite 207, West Hartford, CT 06119 Phone: 860-232-9911 Fax: 860-233-5996 | |
James Paul Rosen, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 Phone: 860-232-9911 Fax: 860-233-5996 | |
Dr. Leonard Cohen, M.D., PH.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 928 Farmington Ave, West Hartford, CT 06107 Phone: 860-233-6293 |