| Robert Angelo Brenes, MD | |
|
76 Batterson Park Rd Ste 106, Farmington, CT 06032-2571 | |
| (203) 598-6045 | |
| (203) 879-0834 |
| Full Name | Robert Angelo Brenes |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 76 Batterson Park Rd Ste 106, Farmington, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235398611 | NPI | - | NPPES |
| 008049126 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 52482 (Connecticut) | Secondary |
| 208600000X | Surgery | 52482 (Connecticut) | Primary |
| Entity Name | Wound Surgeons Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982916151 PECOS PAC ID: 5890829451 Enrollment ID: O20100818000178 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Angelo Brenes, MD 76 Batterson Park Rd Ste 106, Farmington, CT 06032-2571 Ph: (203) 598-6045 | Robert Angelo Brenes, MD 76 Batterson Park Rd Ste 106, Farmington, CT 06032-2571 Ph: (203) 598-6045 |
Zachary Tallent Solomon, Surgery Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-3467 | |
Jeffery Spiro, MD Surgery Medicare: Medicare Enrolled Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2100 Fax: 860-679-4815 | |
Brendan Gontarz, MD Surgery Medicare: Medicare Enrolled Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-3467 Fax: 860-679-1460 | |
Kyle Alan Mccullough, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-1411 | |
Dr. Jeffrey Erwin Indes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-8080 Fax: 860-679-1420 | |
Dr. David W Mcfadden, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 263 Farmington Ave, General Surgery, Farmington, CT 06030 Phone: 860-679-8080 Fax: 860-679-1420 | |
Peter Deckers, Surgery Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2100 Fax: 860-679-4815 |