| Maria Bolastig, MD, | |
|
140 Grandview Ave, Waterbury, CT 06708-2505 | |
| (203) 757-7000 | |
| Not Available |
| Full Name | Maria Bolastig |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 33 Years |
| Location | 140 Grandview Ave, Waterbury, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295756203 | NPI | - | NPPES |
| 1398496 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 039849 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bassett Healthcare | Cooperstown, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mary Imogene Bassett Hospital | 3779488325 | 728 |
| Entity Name | Mary Imogene Bassett Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553 |
| Entity Name | Mary Imogene Bassett Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20040120000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Bolastig, MD, 58 Old Towne Rd, Cheshire, CT 06410-3134 Ph: () - | Maria Bolastig, MD, 140 Grandview Ave, Waterbury, CT 06708-2505 Ph: (203) 757-7000 |
Silvana Rolong, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1312 W Main St Ste 101, Waterbury, CT 06708 Phone: 203-346-2200 | |
Girvice Archer, M.D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 140 Grandview Ave, Waterbury, CT 06708 Phone: 203-757-7000 Fax: 203-591-1473 | |
Alan David Kestenbaum, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 64 Robbins St, Waterbury, CT 06708 Phone: 203-573-6000 | |
Gary Poupko, M.D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 140 Grandview Ave, Waterbury, CT 06708 Phone: 203-757-7000 Fax: 203-591-1473 | |
I-hsun Liang, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 64 Robbins St, Waterbury, CT 06708 Phone: 203-573-6000 | |
Robert Blouin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-6663 Fax: 203-756-9645 | |
Raymond Clement, M.D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 140 Grandview Ave, Waterbury, CT 06708 Phone: 203-757-7000 Fax: 203-591-1473 |