Kiara Marie Marmolejos, PA-C is a medicare enrolled "Physician Assistant" physician in Clinton, Connecticut. She graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Fair Haven Community Health Clinic Inc and her current practice location is
114 E Main St, Clinton, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 664-0787.
Kiara Marie Marmolejos is licensed to practice in Connecticut (license number 6497) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417714999.
Physician's Profile
| Full Name | Kiara Marie Marmolejos |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 114 E Main St, Clinton, Connecticut |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kiara Marie Marmolejos graduated from medical school in 2023
NPI Data:
- NPI Number: 1417714999
- Provider Enumeration Date: 03/01/2024
- Last Update Date: 11/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 3870021645
- Enrollment ID: I20250107001629
Medical Identifiers
Medical identifiers for Kiara Marie Marmolejos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417714999 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0505X | Family Medicine - Adult Medicine | 23.006497 (Connecticut) | Secondary |
| 363A00000X | Physician Assistant | 6497 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Fair Haven Community Health Clinic Inc | 4183511538 | 41 |
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. Kiara Marie Marmolejos 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 Address | Practice Location Address |
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Kiara Marie Marmolejos, PA-C
374 Grand Ave,
New Haven, CT 06513-3733
Ph: (203) 777-7411 | Kiara Marie Marmolejos, PA-C
114 E Main St,
Clinton, CT 06413-2131
Ph: (860) 664-0787 |
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