| Sean Richardson, MD | |
|
1260 Silas Deane Hwy Ste 100, Wethersfield, CT 06109-4363 | |
| (860) 289-3375 | |
| (860) 290-4108 |
| Full Name | Sean Richardson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 15 Years |
| Location | 1260 Silas Deane Hwy Ste 100, Wethersfield, 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 |
|---|---|---|---|
| 1174816003 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hartford Hospital | Hartford, CT | Hospital |
| Manchester Memorial Hospital | Manchester, CT | Hospital |
| Griffin Hospital | Derby, CT | Hospital |
| Day Kimball Hospital | Putnam, CT | Hospital |
| Rockville General Hospital | Vernon, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tic Llc | 4880972819 | 52 |
| Connecticut Imaging Partners Llc | 4183649098 | 105 |
| Connecticut Imaging Partners Llc | 4183649098 | 105 |
| Connecticut Imaging Partners Llc | 4183649098 | 105 |
| Farmington Imaging Center Llc | 7719265651 | 68 |
| Jefferson Radiology Pc | 8729982525 | 121 |
| Farmington Imaging Center Llc | 7719265651 | 68 |
| Tic Llc | 4880972819 | 52 |
| Jefferson Radiology Pc | 8729982525 | 121 |
| Entity Name | Connecticut Imaging Partners LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740315761 PECOS PAC ID: 4183649098 Enrollment ID: O20180808001256 |
| Entity Name | Farmington Imaging Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275987802 PECOS PAC ID: 7719265651 Enrollment ID: O20180808001285 |
| Entity Name | Jefferson Radiology PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795951 PECOS PAC ID: 8729982525 Enrollment ID: O20210204002325 |
| Entity Name | Tic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457702813 PECOS PAC ID: 4880972819 Enrollment ID: O20240226003672 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Richardson, MD 1260 Silas Deane Hwy Ste 104, Wethersfield, CT 06109-4363 Ph: (860) 289-3375 | Sean Richardson, MD 1260 Silas Deane Hwy Ste 100, Wethersfield, CT 06109-4363 Ph: (860) 289-3375 |
Lindsay M Griffin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1260 Silas Deane Hwy Ste 100, Wethersfield, CT 06109 Phone: 860-289-3375 Fax: 860-290-4108 |
Fafa Huberta Koudoro, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1260 Silas Deane Hwy Ste 104, Wethersfield, CT 06109 Phone: 860-289-3375 |
Adam Samuel Federman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1260 Silas Deane Hwy Ste 100, Wethersfield, CT 06109 Phone: 860-289-3375 Fax: 860-290-4108 |
Douglas J. Moote, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1260 Silas Deane Hwy Ste 100, Wethersfield, CT 06109 Phone: 860-289-3375 Fax: 860-290-4108 |
Sean Cusano, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1260 Silas Deane Hwy Ste 100, Wethersfield, CT 06109 Phone: 860-289-3375 Fax: 860-290-4108 |
Dr. Jared Michael Martillotti, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1260 Silas Deane Hwy Ste 100, Wethersfield, CT 06109 Phone: 860-289-3375 Fax: 860-290-4108 |
Dr. Carol Cavalcante De Vasconcelos Lima, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1260 Silas Deane Hwy Ste 100, Wethersfield, CT 06109 Phone: 860-289-3375 Fax: 860-290-4108 |