| Mr Robert Ballough, PA | |
|
94 Connecticut Blvd, East Hartford, CT 06108-3013 | |
| (860) 528-1359 | |
| Not Available |
| Full Name | Mr Robert Ballough |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 94 Connecticut Blvd, East Hartford, 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 |
|---|---|---|---|
| 1851551972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 002079 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yale-new Haven Hospital | New haven, CT | Hospital |
| Gaylord Hospital Inc | Wallingford, CT | Long-term care hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hartford Healthcare Urgent Care Centers Llc | 7618242777 | 201 |
| Northeast Medical Group Inc | 1254233836 | 1357 |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Entity Name | Feel Well Health Center of Southington PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548305584 PECOS PAC ID: 8527951870 Enrollment ID: O20040203000040 |
| Entity Name | First Choice Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215923131 PECOS PAC ID: 2769417609 Enrollment ID: O20060127000447 |
| Entity Name | Quentin Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487087250 PECOS PAC ID: 4981833647 Enrollment ID: O20140130000098 |
| Entity Name | Qmg2, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437546363 PECOS PAC ID: 0345541512 Enrollment ID: O20151211000754 |
| Entity Name | Qmg4 LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023471299 PECOS PAC ID: 4284912957 Enrollment ID: O20161031002469 |
| Entity Name | Qmg3 LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053856039 PECOS PAC ID: 8628353117 Enrollment ID: O20170324000321 |
| Entity Name | Hartford Healthcare Urgent Care Centers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093239683 PECOS PAC ID: 7618242777 Enrollment ID: O20170929001464 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert Ballough, PA 4 Farm Ct, Wallingford, CT 06492-3251 Ph: (203) 376-1863 | Mr Robert Ballough, PA 94 Connecticut Blvd, East Hartford, CT 06108-3013 Ph: (860) 528-1359 |
Morgan Pringnitz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 94 Connecticut Blvd, East Hartford, CT 06108 Phone: 860-528-1359 |
Ashley Falcon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 809 Main St, East Hartford, CT 06108 Phone: 860-528-1359 |
Ms. Haleigh Marie Mccloskey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 94 Connecticut Blvd, East Hartford, CT 06108 Phone: 860-528-1359 |
Jocelyn M Depathy, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 111 Founders Plz, Ste 400, East Hartford, CT 06108 Phone: 860-289-3375 Fax: 860-783-5733 |
Kimone Antonnette Walker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 47 Mckee St, East Hartford, CT 06108 Phone: 860-924-9220 |
Jacqueline Jordan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 809 Main St, East Hartford, CT 06108 Phone: 860-528-1359 |
Nancy Devanna-miller, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 893 Main St, East Hartford Family Medicine Suite 101, East Hartford, CT 06108 Phone: 860-528-2138 |