Dr Kimberly C Riquelme, DO - Medicare Psychiatry & Neurology in Groton, CT

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Dr Kimberly C Riquelme, DO is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Groton, Connecticut. Her current practice location is 1353 Gold Star Hwy, Groton, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 449-9947.

Dr Kimberly C Riquelme is licensed to practice in Connecticut (license number 54151) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619282191.

Contact Information

Dr Kimberly C Riquelme, DO
1353 Gold Star Hwy,
Groton, CT 06340
(860) 449-9947
Not Available

Map and Direction




Physician's Profile

Full NameDr Kimberly C Riquelme
GenderFemale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location1353 Gold Star Hwy, Groton, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619282191
  • Provider Enumeration Date: 08/09/2010
  • Last Update Date: 07/03/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9830486471
  • Enrollment ID: I20160924000209

Medical Identifiers

Medical identifiers for Dr Kimberly C Riquelme such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619282191NPI-NPPES
54151OtherCTLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 54151 (Connecticut)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 54151 (Connecticut)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kimberly C Riquelme allows following entities to bill medicare on her behalf.
Entity NameWindham Community Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023191467
PECOS PAC ID: 2961309059
Enrollment ID: O20031217000231
Entity NameNortheast Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20040123000522
Entity NameNatchaug Hospital, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295811321
PECOS PAC ID: 5395648737
Enrollment ID: O20040202000008

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. Dr Kimberly C Riquelme is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


Psychiatry & Neurology Doctors in Groton, CT

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
Dr. Numan Gharaibeh, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1353 Gold Star Hwy, Groton, CT 06340
Phone: 860-449-9947    
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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.