| Richard C Kaiser Md Llc | |
|
41 North Rd Ste 204 Bedford MA 01730-1037 | |
| (781) 778-0017 | |
| (978) 287-6199 |
| Full Name | Richard C Kaiser Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 41 North Rd Ste 204, Bedford, Massachusetts |
| Authorized Official Name and Position | Richard C Kaiser (CEO) |
| Authorized Official Contact | 7817780017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard C Kaiser Md Llc 11 Beverly Rd Bedford MA 01730-1136 Ph: (781) 778-0017 | Richard C Kaiser Md Llc 41 North Rd Ste 204 Bedford MA 01730-1037 Ph: (781) 778-0017 |
| NPI Number | 1972668374 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Medicare PECOS PAC ID | 1850323072 |
|---|---|
| Medicare Enrollment ID | O20050908000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972668374 | NPI | - | NPPES |
| M21717 | Medicaid | MA | |
| 9745190 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 305S00000X | Point Of Service | (* (Not Available)) | Secondary |
| Provider Name | Richard C Kaiser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760421754 PECOS PAC ID: 9436193349 Enrollment ID: I20050613000269 |
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