Dr Kimberly C Riquelme, DO | |
1353 Gold Star Hwy, Groton, CT 06340 | |
(860) 449-9947 | |
Not Available |
Full Name | Dr Kimberly C Riquelme |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 1353 Gold Star Hwy, Groton, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619282191 | NPI | - | NPPES |
54151 | Other | CT | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 54151 (Connecticut) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 54151 (Connecticut) | Primary |
Entity Name | Windham Community Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023191467 PECOS PAC ID: 2961309059 Enrollment ID: O20031217000231 |
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 | Natchaug Hospital, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295811321 PECOS PAC ID: 5395648737 Enrollment ID: O20040202000008 |
Mailing Address | Practice Location Address |
---|---|
Dr Kimberly C Riquelme, DO 1353 Gold Star Hwy, Groton, CT 06340-2739 Ph: (860) 449-9947 | Dr Kimberly C Riquelme, DO 1353 Gold Star Hwy, Groton, CT 06340 Ph: (860) 449-9947 |
Dr. Julia Jacobs, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4496 | |
Dr. Douglas Charles Mcadams, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4123 | |
Mark William Mittauer, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Rte 12 Bldg 449, Groton, CT 06349 Phone: 860-694-2377 Fax: 860-694-2590 | |
Robert A Grillo Jr., M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4966 Fax: 860-694-3388 | |
Dr. Ismail Yahyazade, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Route 12 Bldg 449, Naval Ambulatory Care Center Attn Professional Affairs, Groton, CT 06349 Phone: 860-694-2377 Fax: 860-694-2590 | |
Dr. Christopher Allen Stetler, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4966 |