| Robert S Adamenko, MD | |
|
320 Western Blvd, Suite 102, Glastonbury, CT 06033-1259 | |
| (860) 633-9235 | |
| Not Available |
| Full Name | Robert S Adamenko |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 320 Western Blvd, Glastonbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629040100 | NPI | - | NPPES |
| 001386136 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 038613 (Connecticut) | Primary |
| Entity Name | Connecticut Children's Specialty Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
| Entity Name | Prohealth Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert S Adamenko, MD 290 Western Blvd, Glastonbury, CT 06033-1236 Ph: (860) 633-9235 | Robert S Adamenko, MD 320 Western Blvd, Suite 102, Glastonbury, CT 06033-1259 Ph: (860) 633-9235 |
Mckenna Tierney, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 290 Western Blvd, Glastonbury, CT 06033 Phone: 860-652-3325 | |
Mr. John Howard Lavalette, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 31 Sycamore Rd, Glastonbury, CT 06033 Phone: 860-721-7561 Fax: 860-721-9199 | |
Manuel A. Orta Cobo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Nye Rd Ste 105, Glastonbury, CT 06033 Phone: 860-375-5088 Fax: 860-590-2030 | |
Dr. Sharon K Pool, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 379 Naubuc Ave, Glastonbury, CT 06033 Phone: 860-652-3325 Fax: 860-652-0445 | |
Dr. Gubbanna V Kumar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 131 New London Tpke Ste 322, Glastonbury, CT 06033 Phone: 860-781-8181 | |
Julie Macneil, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 290 Western Blvd, Glastonbury, CT 06033 Phone: 888-344-0007 Fax: 860-652-9277 |