| Dorian Kenneth Madrid, PA-C | |
|
100 Grand St, Dept Of Surgery, New Britain, CT 06052-2016 | |
| (860) 224-5513 | |
| Not Available |
| Full Name | Dorian Kenneth Madrid |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 100 Grand St, New Britain, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780917476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 002161 (Connecticut) | Primary |
| Entity Name | Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285686675 PECOS PAC ID: 7911811435 Enrollment ID: O20040407000673 |
| Entity Name | Paragon Contracting Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20041207001148 |
| Entity Name | Polk Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558338574 PECOS PAC ID: 0547241598 Enrollment ID: O20050506000658 |
| Entity Name | Emergency Medical Associates of Tampa Bay LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023397817 PECOS PAC ID: 3678746674 Enrollment ID: O20111108000728 |
| Entity Name | Observation Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952763682 PECOS PAC ID: 3779872627 Enrollment ID: O20160516001399 |
| Mailing Address | Practice Location Address |
|---|---|
| Dorian Kenneth Madrid, PA-C 100 Grand St, Dept Of Surgery, New Britain, CT 06052-2016 Ph: (860) 224-5513 | Dorian Kenneth Madrid, PA-C 100 Grand St, Dept Of Surgery, New Britain, CT 06052-2016 Ph: (860) 224-5513 |
John Bean, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2150 Corbin Ave, New Britain, CT 06053 Phone: 860-223-2761 |
Ms. Kortney Rose Ribbeck, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5011 |
Alexandra Deangelis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Lake St, New Britain, CT 06052 Phone: 203-767-3758 |
Amy Beth Ziegelmeier, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5661 |
Victoria Drumski Swider, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5011 |
Nicole-christin Dujon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5011 |
Maria Allen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5011 |