Kim Marie Reyes, MD is a medicare enrolled "General Practice" physician in Stamford, Connecticut. Her current practice location is
1180 Newfield Ave, Stamford, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(314) 888-5233.
Kim Marie Reyes is licensed to practice in California (license number G071574) 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 1548203748.
Physician's Profile
| Full Name | Kim Marie Reyes |
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| Gender | Female |
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| Speciality | General Practice |
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| Location | 1180 Newfield Ave, Stamford, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548203748
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 04/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 3577623065
- Enrollment ID: I20081113000252
Medical Identifiers
Medical identifiers for Kim Marie Reyes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548203748 | NPI | - | NPPES |
| 00G715742 | Medicaid | CA | |
| 02223040 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 50309 (Texas) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 06221 (Connecticut) | Secondary |
| 207V00000X | Obstetrics & Gynecology | G71574 (California) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 0101266425 (Virginia) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 274956 (New York) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD2015-0941 (New Mexico) | Secondary |
| 208D00000X | General Practice | 06221 (Connecticut) | Secondary |
| 208D00000X | General Practice | 274956 (New York) | Secondary |
| 208D00000X | General Practice | MD461619 (Pennsylvania) | Secondary |
| 208D00000X | General Practice | 0101266425 (Virginia) | Secondary |
| 208D00000X | General Practice | R0309 (Texas) | Secondary |
| 208D00000X | General Practice | 49440 (Arizona) | Secondary |
| 208D00000X | General Practice | G071574 (California) | 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. Kim Marie Reyes allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Medical Associates Of California Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124685169
PECOS PAC ID: 8325370570
Enrollment ID: O20191022000320 |
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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. Kim Marie Reyes 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 |
|---|
Kim Marie Reyes, MD
70 S Val Vista Dr Ste A3-239a3,
Gilbert, AZ 85296-1374
Ph: (818) 378-3978 | Kim Marie Reyes, MD
1180 Newfield Ave,
Stamford, CT 06905-1409
Ph: (314) 888-5233 |
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