| Richard C Kaiser Md Llc | |
|
97 Lowell Rd Floor 2 Concord MA 01742-1733 | |
| (978) 610-6764 | |
| (978) 287-6199 |
| Full Name | Richard C Kaiser Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 97 Lowell Rd, Concord, Massachusetts |
| Authorized Official Name and Position | Richard C Kaiser (CEO) |
| Authorized Official Contact | 9786106764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard C Kaiser Md Llc 11 Beverly Rd Bedford MA 01730-1136 Ph: (978) 371-4427 | Richard C Kaiser Md Llc 97 Lowell Rd Floor 2 Concord MA 01742-1733 Ph: (978) 610-6764 |
| NPI Number | 1972668374 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 02/06/2020 |
| Certification Date | 02/06/2020 |
| Medicare PECOS PAC ID | 1850323072 |
|---|---|
| Medicare Enrollment ID | O20050908000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972668374 | NPI | - | NPPES |
| 9745190 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Richard C Kaiser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760421754 PECOS PAC ID: 9436193349 Enrollment ID: I20050613000269 |
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