| Robert Frederic Manos, DO | |
|
130 Division St, Derby, CT 06418-1326 | |
| (203) 732-7327 | |
| Not Available |
| Full Name | Robert Frederic Manos |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 7 Years |
| Location | 130 Division St, Derby, 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 |
|---|---|---|---|
| 1033679758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 99717 (Georgia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 69236 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baystate Medical Center | Springfield, MA | Hospital |
| Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
| Baystate Noble Hospital | Westfield, MA | Hospital |
| Baystate Wing Hospital And Medical Centers | Palmer, MA | Hospital |
| Baystate Franklin Medical Center | Greenfield, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Geisinger Clinic | 5395657001 | 3432 |
| Radiology And Imaging Inc | 9234110479 | 58 |
| East Cooper Physician Group Llc | 1254775687 | 126 |
| Radiology Alliance Pc | 1850280470 | 449 |
| Virtual Radiologic Professionals Llc | 4981608817 | 392 |
| Northeast Georgia Physicians Group Inc | 6901898386 | 884 |
| Danville Physician Practices Llc | 4688606304 | 171 |
| Dlp Twin County Physician Practices Llc | 7214199512 | 119 |
| St Francis Physician Practices Llc | 8729381033 | 217 |
| Northeast Georgia Physicians Group Inc | 6901898386 | 884 |
| Radiology And Imaging Inc | 9234110479 | 58 |
| East Cooper Physician Group Llc | 1254775687 | 126 |
| Entity Name | Radiology & Imaging Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790731008 PECOS PAC ID: 9234110479 Enrollment ID: O20040525001128 |
| Entity Name | Virtual Radiologic Professionals LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932342029 PECOS PAC ID: 4981608817 Enrollment ID: O20070918000515 |
| Entity Name | Radiology Alliance PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861478489 PECOS PAC ID: 1850280470 Enrollment ID: O20160920002377 |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558313023 PECOS PAC ID: 5395657001 Enrollment ID: O20180830001923 |
| Entity Name | Specialists in Medical Imaging, SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841687951 PECOS PAC ID: 2163733544 Enrollment ID: O20181107002717 |
| Entity Name | Donalsonville Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720095805 PECOS PAC ID: 7113919820 Enrollment ID: O20190314000809 |
| Entity Name | Geisinger-hm Joint Venture LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952076119 PECOS PAC ID: 1355676370 Enrollment ID: O20200211001278 |
| 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: O20210218001717 |
| Entity Name | Northside Radiology Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013960657 PECOS PAC ID: 4486555398 Enrollment ID: O20221108001229 |
| Entity Name | Crouse Radiology Associates LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447244587 PECOS PAC ID: 1850387648 Enrollment ID: O20230607001537 |
| Entity Name | Atlantic Radiology Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033136080 PECOS PAC ID: 5799706032 Enrollment ID: O20240814003404 |
| Entity Name | St Francis Physician Practices LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609655646 PECOS PAC ID: 8729381033 Enrollment ID: O20250926001035 |
| Entity Name | Olean General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033499017 PECOS PAC ID: 9133111784 Enrollment ID: O20251028001563 |
| Entity Name | Northeast Georgia Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20251202001076 |
| Entity Name | Danville Physician Practices LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265243612 PECOS PAC ID: 4688606304 Enrollment ID: O20251219002839 |
| Entity Name | Dlp Twin County Physician Practices LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033485925 PECOS PAC ID: 7214199512 Enrollment ID: O20251223001331 |
| Entity Name | East Cooper Physician Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699641571 PECOS PAC ID: 1254775687 Enrollment ID: O20260304001626 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Frederic Manos, DO 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-4242 | Robert Frederic Manos, DO 130 Division St, Derby, CT 06418-1326 Ph: (203) 732-7327 |
Lawrence Gluck, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-735-8769 |