| Kenneth R Dardick, MD | |
|
34 Professional Park Rd., Storrs, CT 06268-2537 | |
| (860) 487-0002 | |
| (860) 429-1663 |
| Full Name | Kenneth R Dardick |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 55 Years |
| Location | 34 Professional Park Rd., Storrs, 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 |
|---|---|---|---|
| 1316930266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17773 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Windham Community Memorial Hospital | Willimantic, CT | Hospital |
| Mansfield Center For Nursing And Rehabilitation | Mansfield, CT | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mansfield Family Practice Llc | 2961433594 | 4 |
| Entity Name | Natchaug Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295811321 PECOS PAC ID: 5395648737 Enrollment ID: O20040202000008 |
| Entity Name | Mansfield Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265546956 PECOS PAC ID: 2961433594 Enrollment ID: O20050824000185 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth R Dardick, MD 34 Professional Park Rd, Storrs, CT 06268 Ph: (860) 487-0002 | Kenneth R Dardick, MD 34 Professional Park Rd., Storrs, CT 06268-2537 Ph: (860) 487-0002 |
Andrea M Gutierrez, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Royce Cir Ste 104, Uconn Medical Group, Storrs, CT 06268 Phone: 860-487-9200 Fax: 860-487-9222 | |
Alif Sattar Ahmed, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1244 Storrs Rd, Storrs, CT 06268 Phone: 860-456-9720 Fax: 860-487-9684 | |
Nelson C Walker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 34 Professional Park Rd., Storrs, CT 06268 Phone: 860-487-0002 Fax: 860-429-1663 | |
Zachary James Maass, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Royce Circle, Storrs, CT 06268 Phone: 860-487-9264 Fax: 860-487-9222 | |
Sandra M Hughes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 34 Proffessional Park Rd, Storrs, CT 06268 Phone: 860-487-0002 | |
Ross L Winakor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 34 Professional Park Rd., Storrs, CT 06268 Phone: 860-487-0002 Fax: 860-429-1663 |