| Karen E Kennedy, MD | |
|
56 Franklin St, Waterbury, CT 06706-1253 | |
| (203) 709-6000 | |
| Not Available |
| Full Name | Karen E Kennedy |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 56 Franklin St, 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 |
|---|---|---|---|
| 1811976723 | NPI | - | NPPES |
| WELLCARE | Other | CT | 180022 |
| 001370204 | Medicaid | CT | |
| 037020-Q059 | Other | CT | CONNECTICARE |
| 145426 | Other | CT | USA |
| PENDING | Other | CT | RR MEDICARE |
| 5692642 | Other | CT | AETNA |
| P3807878 | Other | CT | OXFORD |
| 18-66488 | Other | CT | UHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 037020 (Connecticut) | Primary |
| Entity Name | Hartford Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Karen E Kennedy, MD 56 Franklin St, Waterbury, CT 06706-1253 Ph: (203) 709-6000 | Karen E Kennedy, MD 56 Franklin St, Waterbury, CT 06706-1253 Ph: (203) 709-6000 |
Dr. Maria Tasso, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-346-6971 | |
Elizabeth Marie Bailey Geib, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-755-6782 | |
Dr. Ellen Mascoli-lanza, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-346-6971 | |
Neysa J. Mcdonald, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-755-6782 | |
Stephen J Maddox Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-755-6782 | |
Elsa Mercedes Martinez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 80 Phoenix Ave Ste 201, Waterbury, CT 06702 Phone: 203-756-8021 | |
Dr. Linda T Mathew, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2457 E Main St, Waterbury, CT 06705 Phone: 203-754-0169 Fax: 203-578-3420 |