| Thomas E Kilkenny, MD | |
|
71 Haynes St, Manchester, CT 06040 | |
| (860) 646-1222 | |
| (860) 533-3498 |
| Full Name | Thomas E Kilkenny |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 39 Years |
| Location | 71 Haynes St, Manchester, 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 |
|---|---|---|---|
| 1730199878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 031001 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Manchester Memorial Hospital | Manchester, CT | Hospital |
| Day Kimball Hospital | Putnam, CT | Hospital |
| Rockville General Hospital | Vernon, CT | Hospital |
| Griffin Hospital | Derby, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Farmington Imaging Center Llc | 7719265651 | 68 |
| Tic Llc | 4880972819 | 52 |
| Entity Name | Jefferson Radiology PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795951 PECOS PAC ID: 8729982525 Enrollment ID: O20031124000161 |
| 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: O20051011000041 |
| Entity Name | Tic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457702813 PECOS PAC ID: 4880972819 Enrollment ID: O20161026002352 |
| 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: O20161028000552 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas E Kilkenny, MD Pmb #141, 341 East Center St, Manchester, CT 06040 Ph: (860) 646-1222 | Thomas E Kilkenny, MD 71 Haynes St, Manchester, CT 06040 Ph: (860) 646-1222 |
Dr. Lara Bryan-rest, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 341 E Center St, #141, Manchester, CT 06040 Phone: 860-646-1222 |
Gary W Kravetz, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-646-1222 Fax: 860-533-3498 |
Ted S Metzger, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-646-1222 Fax: 860-533-3498 |
Edward M Rosenblatt, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-646-1222 Fax: 860-533-3498 |
Christopher A Taubes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-646-1222 Fax: 860-533-3498 |
Dr. Edward G Denstman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-646-1222 Fax: 860-533-3498 |
Frederick Shuler, MD Radiology Medicare: Medicare Enrolled Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-646-1222 Fax: 860-533-3498 |