Steven R Dieterich, MD in East Granby, CT

Steven R Dieterich, MD is a Family Medicine physician based in East Granby, Connecticut. Steven R Dieterich is licensed to practice in Connecticut (license number 018693) and his current practice location is 13 Church Rd, East Granby, Connecticut. He can be reached at his office (for appointments etc.) via phone at (860) 653-4526.

NPI number for Steven R Dieterich is 1063499127 and his current mailing address is Po Box 518, 13 Church Rd, East Granby, Connecticut. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063499127.

Contact Information

	Steven R Dieterich, MD
	13 Church Rd, East Granby, CT 06026-0518
	(860) 653-4526
	(860) 653-5209

Map and Direction

Physician's Profile

Full Name	Steven R Dieterich
Gender	Male
Speciality	Family Medicine
Location	13 Church Rd, East Granby, Connecticut
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1063499127
Provider Enumeration Date: 12/29/2005
Last Update Date: 01/18/2011

Medical Identifiers

Medical identifiers for Steven R Dieterich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063499127	NPI	-	NPPES
140065	Other	CT	AETNA
001186931	Medicaid	CT
010018693CT01	Other	CT	BCBS
0104402	Other	CT	UNITED
018693	Other	CT	CT
HAP210	Other	CT	OXFORD
2085328005	Other	CT	CIGNA
0P0372	Other	CT	HEALTHNET

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	018693 (Connecticut)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Steven R Dieterich is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Steven R Dieterich, MD Po Box 518, 13 Church Rd, East Granby, CT 06026-0518 Ph: (860) 653-4526	Steven R Dieterich, MD 13 Church Rd, East Granby, CT 06026-0518 Ph: (860) 653-4526

Reviews and Comments

Family Medicine Doctors in East Granby, CT

Ms. Elizabeth S Freedman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13 Church Rd, East Granby, CT 06026 Phone: 860-653-4526 Fax: 860-653-5307
Mrs. Anne M Reiher, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13 Church Rd, East Granby, CT 06026 Phone: 860-653-5624 Fax: 860-653-5209
Khuram R Ghumman, MD, MPH, CPE, FAAFP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13 Church St, East Granby, CT 06026 Phone: 860-653-4526 Fax: 860-653-5209
Mr. Edward M Ewald, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13 Church Rd, East Granby, CT 06026 Phone: 860-653-4526 Fax: 860-653-5209
Tejal Kothari Shaikh, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13 Church Rd, East Granby, CT 06026 Phone: 860-653-4526
Dr. Daniel Michael Lerner, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13 Church St, East Granby, CT 06026 Phone: 860-653-4526 Fax: 860-653-5209

Steven R Dieterich, MD - Family Medicine in East Granby, CT