267 GRANT ST BRIDGEPORT ANESTHESIA ASSOCIATES, P.C.
BRIDGEPORT, CT 06610-2805 US PECOS Enrolled
Overview
Michael Packman is a Anesthesiologist in the BRIDGEPORT area. Michael Packman primary office location is at 267 GRANT ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1205856333 and the information was updated approximately 15 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 22889 | CT |
| Type/Issuer | Identifier | State |
|---|---|---|
| COMMUNITY HEALTH NETWORK | CHN1086 | CT |
| MEDICAID | 1228891 | CT |
| CONNECTICARE | 2889 | CT |
| BCBS CT | 500HBA011CT01 | CT |
| HEALTH NET | 95012 | CT |
| OXFORD HEALTH PLANS | A770995 | CT |
| CIGNA CT | 060855634003E011 | CT |
| AETNA CT | 4402597 | CT |
| Taxonomy | State | Primary? |
|---|---|---|
| Anesthesiologist - Taxonomy Code 207L00000X | CT | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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