Kim Marie Reyes, MD is a medicare enrolled "General Practice" physician in Stamford, Connecticut. She graduated from medical school in 1987 and has 39 years of diverse experience with area of expertise as General Practice. She is a member of the group practice My Catholic Doctor Pllc and 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
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 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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| Experience | 39 Years |
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| Location | 1180 Newfield Ave, Stamford, 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:
- Kim Marie Reyes graduated from medical school in 1987
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: I20200616002193
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| My Catholic Doctor Pllc | 7214367101 | 21 |
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 Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20200114001048 |
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| Entity Name | My Catholic Doctor Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396201307
PECOS PAC ID: 7214367101
Enrollment ID: O20200428000923 |
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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 |
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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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