| Dr Jonathan Robert Reidel, MD | |
|
375 Willard Ave, Grove Hill Medical Center, Newington, CT 06111-2300 | |
| (860) 666-5167 | |
| (860) 665-8168 |
| Full Name | Dr Jonathan Robert Reidel |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 375 Willard Ave, Newington, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184793481 | NPI | - | NPPES |
| P3735238 | Other | CT | OXFORD |
| 7615732 | Other | CT | CIGNA |
| 004195930 | Medicaid | CT | |
| 227660 | Other | CT | CONNECTICARE |
| 369523 | Other | CT | WELLCARE MEDICARE |
| 001448902 | Medicaid | CT | |
| 010044890CT01 | Other | CT | BCBS & BCFP PROV ID |
| 1255448155 | Other | CT | GHMC GROUP NPI ID |
| 1470175 | Other | CT | AETNA |
| 2V8732 | Other | CT | HEALTH NET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 044890 (Connecticut) | Primary |
| Entity Name | Starling Physicians, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467537290 PECOS PAC ID: 7517863749 Enrollment ID: O20031209000877 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Robert Reidel, MD 375 Willard Ave, Grove Hill Medical Center, Newington, CT 06111-2300 Ph: (860) 666-5167 | Dr Jonathan Robert Reidel, MD 375 Willard Ave, Grove Hill Medical Center, Newington, CT 06111-2300 Ph: (860) 666-5167 |
Douglas Macgilpin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 505 Willard Avenue, Building 2, Suite C, Newington, CT 06111 Phone: 860-666-5601 Fax: 860-666-2539 | |
Dr. Amy L Baumer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 505 Willard Ave, Building 2, Suite C, Newington, CT 06111 Phone: 860-666-5601 Fax: 860-667-3909 | |
Laura J Pickett, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 141 Willard Avenue, Newington, CT 06111 Phone: 860-666-5601 | |
Dr. Courtney Lynne Souza, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 375 Willard Ave, Dept Of Pediatrics, Newington, CT 06111 Phone: 860-666-5167 Fax: 860-665-8168 | |
Dr. Richard C Harvey Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 Willard Ave, Building 2, Suite C, Newington, CT 06111 Phone: 860-666-5601 Fax: 860-667-3909 | |
Shiji A. Isaac, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 505 Willard Avenue, Building 2, Suite C, Newington, CT 06111 Phone: 860-666-5601 |