| Justin Van Backer, | |
|
100 Grand St Dept Of, New Britain, CT 06052-2016 | |
| (860) 696-4923 | |
| Not Available |
| Full Name | Justin Van Backer |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 10 Years |
| Location | 100 Grand St Dept Of, New Britain, 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 |
|---|---|---|---|
| 1396139762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 70670 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hartford Hospital | Hartford, CT | Hospital |
| The Hospital Of Central Connecticut | New britain, CT | Hospital |
| Midstate Medical Center | Meriden, CT | Hospital |
| Charlotte Hungerford Hospital | Torrington, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hartford Healthcare Medical Group Specialists Pllc | 3173866241 | 1329 |
| Entity Name | Mhs Primary Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336279058 PECOS PAC ID: 4082507371 Enrollment ID: O20040202000945 |
| Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Van Backer, 1290 Silas Deane Hwy, Wethersfield, CT 06109-4337 Ph: (860) 972-9093 | Justin Van Backer, 100 Grand St Dept Of, New Britain, CT 06052-2016 Ph: (860) 696-4923 |
Dr. Georgios Mihalopulos, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5011 Fax: 203-573-7031 | |
Dr. Noubar Movses Kevorkian, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5513 Fax: 860-224-5916 | |
Parth S Shah, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 40 Hart St, Bldg C, New Britain, CT 06052 Phone: 860-229-8889 Fax: 860-229-8893 | |
Mr. Terrence K Donahue, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 40 Hart Street, Bldg D, New Britain, CT 06052 Phone: 860-826-5288 Fax: 860-225-9519 | |
Elizabeth Roderick, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-972-9093 | |
Dr. Robert Napoletano, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Lake St, Grove Hill Medical Center, New Britain, CT 06052 Phone: 860-826-4457 Fax: 860-229-6963 |