| Robert H Rifkin Md Llc | |
|
11477 Olde Cabin Rd Ste 210 Creve Coeur MO 63141-7129 | |
| (314) 997-5208 | |
| (314) 997-5368 |
| Full Name | Robert H Rifkin Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11477 Olde Cabin Rd Ste 210, Creve Coeur, Missouri |
| Authorized Official Name and Position | Robert Rifkin (OWNER) |
| Authorized Official Contact | 3149975208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert H Rifkin Md Llc Po Box 66726 Saint Louis MO 63166-6726 Ph: (314) 628-1423 | Robert H Rifkin Md Llc 11477 Olde Cabin Rd Ste 210 Creve Coeur MO 63141-7129 Ph: (314) 997-5208 |
| NPI Number | 1578045118 |
|---|---|
| Provider Enumeration Date | 08/30/2018 |
| Last Update Date | 07/03/2024 |
| Certification Date | 07/03/2024 |
| Medicare PECOS PAC ID | 0244583763 |
|---|---|
| Medicare Enrollment ID | O20181031001541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578045118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | R2F83 (Missouri) | Primary |
| Provider Name | Robert H Rifkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639289051 PECOS PAC ID: 8628118494 Enrollment ID: I20091230000042 |
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