Kenzie Kitcharoen, MD | |
515 Valley St Ste 203, Maplewood, NJ 07040-4300 | |
(908) 663-2929 | |
(908) 219-6213 |
Full Name | Kenzie Kitcharoen |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 515 Valley St Ste 203, Maplewood, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356533269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 036124514 (Illinois) | Primary |
Entity Name | Stationmd Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285015347 PECOS PAC ID: 6204184104 Enrollment ID: O20200331000327 |
Mailing Address | Practice Location Address |
---|---|
Kenzie Kitcharoen, MD 899 Skokie Blvd Spc 333, Northbrook, IL 60062-4023 Ph: (847) 834-1428 | Kenzie Kitcharoen, MD 515 Valley St Ste 203, Maplewood, NJ 07040-4300 Ph: (908) 663-2929 |
Dorsa Seimaa, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 515 Valley St, Maplewood, NJ 07040 Phone: 908-663-2929 Fax: 908-219-6213 | |
Robert Mccreery Flowers Ii, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 515 Valley St Ste 203, Maplewood, NJ 07040 Phone: 908-663-2929 Fax: 908-219-6213 | |
Dr. Matthew Lobosco, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 515 Valley St Ste 203, Maplewood, NJ 07040 Phone: 908-663-2929 Fax: 908-219-6213 | |
Manjula Chilakapati, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2130 Millburn Ave, Maplewood, NJ 07040 Phone: 973-699-1956 | |
Dr. Kiranben J Jadeja, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2010 Springfield Ave, Maplewood, NJ 07040 Phone: 732-762-1857 | |
Dr. Jennifer Leigh Abramson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 511 Valley Street, Suite 201, Maplewood, NJ 07040 Phone: 973-275-5333 Fax: 973-275-9233 |