| Kenneth Arthur Bagwell, MD | |
|
32 Strawberry Hill Ct Ste 4, Stamford, CT 06902-2594 | |
| (203) 353-0000 | |
| (203) 357-8109 |
| Full Name | Kenneth Arthur Bagwell |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 14 Years |
| Location | 32 Strawberry Hill Ct Ste 4, 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 |
|---|---|---|---|
| 1346508249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 83331 (Connecticut) | Primary |
| 207Y00000X | Otolaryngology | MD182448 (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Charles Medical Center - Bend | Bend, OR | Hospital |
| St Charles Prineville | Prineville, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Oregon Ent Llc - Ear Nose Throat And Facial Plastic Surgey | 7416939954 | 18 |
| Entity Name | Central Oregon Ent Llc - Ear Nose Throat And Facial Plastic Surgey |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902813884 PECOS PAC ID: 7416939954 Enrollment ID: O20040607001059 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Arthur Bagwell, MD 2450 Ne Mary Rose Pl Ste 120, Bend, OR 97701-7132 Ph: (541) 312-3100 | Kenneth Arthur Bagwell, MD 32 Strawberry Hill Ct Ste 4, Stamford, CT 06902-2594 Ph: (203) 353-0000 |
Richard Kyle Tilton, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 32 Strawberry Hill Ct Ste 4, Stamford, CT 06902 Phone: 203-353-0000 Fax: 203-357-8109 | |
Jason Klenoff, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 32 Strawberry Hill Ct, Ear, Nose, & Throat Center, Stamford, CT 06902 Phone: 203-353-0000 Fax: 203-357-8109 | |
Dr. Bruce Howard Klenoff, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 32 Strawberry Hill Ct, Tully Health Center Suite 4, Stamford, CT 06902 Phone: 203-353-0000 |