| Todd Glen Hastings, DO | |
|
1 Wahoo Ave # 600, Groton, CT 06349-2324 | |
| (860) 694-4910 | |
| Not Available |
| Full Name | Todd Glen Hastings |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine |
| Experience | 15 Years |
| Location | 1 Wahoo Ave # 600, Groton, 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 |
|---|---|---|---|
| 1386955060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 0102202888 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic Llc | 1052217478 | 294 |
| Entity Name | St Lukes Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Glen Hastings, DO 115 Proteus Ave, Groton, CT 06340-2812 Ph: (307) 438-1428 | Todd Glen Hastings, DO 1 Wahoo Ave # 600, Groton, CT 06349-2324 Ph: (860) 694-4910 |
Robert P Hurley, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 75 Eastern Point Rd, Department 644, Station A97-1, Groton, CT 06340 Phone: 860-433-1019 Fax: 860-433-0639 | |
Gregory Archible Adams, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Crystal Lake Rd, Groton, CT 06349 Phone: 860-694-3011 | |
Dr. Shrikant R Deshpande, MD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 52 Hazelnut Hill Rd, 52 Hazelnut Hill Road, Groton, CT 06340 Phone: 860-446-8265 Fax: 860-448-6961 |