| Kenneth Wayne Donovan, MD | |
|
35 Saybrook Rd, Unit 6, Essex, CT 06426-1490 | |
| (860) 358-3725 | |
| (860) 358-3726 |
| Full Name | Kenneth Wayne Donovan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 29 Years |
| Location | 35 Saybrook Rd, Essex, 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 |
|---|---|---|---|
| 1669447207 | NPI | - | NPPES |
| 001429168 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 042916 (Connecticut) | Primary |
| 207R00000X | Internal Medicine | MD12478 (Rhode Island) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hartford Healthcare At Home | Bloomfield, CT | Hospice |
| Masonicare Home Health And Hospice Inc | Wallingford, CT | Hospice |
| Lawrence & Memorial Hospital | New london, CT | Hospital |
| Middlesex Hospital | Middletown, CT | Hospital |
| Pendleton Health & Rehabilitation Center | Mystic, CT | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Medicine Associates Llc | 9234156985 | 177 |
| Hospital Medicine Associates Llc | 9234156985 | 177 |
| Entity Name | Hospital Medicine Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093758781 PECOS PAC ID: 9234156985 Enrollment ID: O20170802002619 |
| Entity Name | Connecticut Post Acute Medical Services 1 Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558890467 PECOS PAC ID: 5092089755 Enrollment ID: O20170919001161 |
| Entity Name | Ma Pacs 2 Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265918791 PECOS PAC ID: 4284983628 Enrollment ID: O20200717000540 |
| Entity Name | Cs Pacs 3 Northeast, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093598898 PECOS PAC ID: 0941656607 Enrollment ID: O20240805002825 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Wayne Donovan, MD 28 Crescent St, Middletown, CT 06457-3654 Ph: (860) 358-6000 | Kenneth Wayne Donovan, MD 35 Saybrook Rd, Unit 6, Essex, CT 06426-1490 Ph: (860) 358-3725 |
Dr. Alan Michael Spagnola, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Wildwood Medical Ctr, Essex, CT 06426 Phone: 860-767-0145 Fax: 860-767-0021 | |
Timothy A Tobin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 147 Westbrook Rd, Essex, CT 06426 Phone: 860-767-8265 Fax: 860-358-8653 | |
Ewa T Ruggieri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 147 Westbrook Rd, Essex, CT 06426 Phone: 860-767-8265 Fax: 860-358-8653 | |
Dr. Peter Stanton Dixon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 192 Westbrook Rd, Essex, CT 06426 Phone: 860-767-1200 Fax: 860-767-3031 | |
Elizabeth Ann Coric, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Saybrook Rd, Essex, CT 06426 Phone: 860-767-9998 Fax: 860-767-9161 | |
Earl Rodney Hornbake Iii, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 10 Wildwood Medical Ctr, Essex, CT 06426 Phone: 860-767-0145 Fax: 860-767-0021 |