Rose Kihara Nurse Practitioner Llc is a medicare enrolled primary clinic (Clinic/center) in Woodstock, Connecticut. The current practice location for Rose Kihara Nurse Practitioner Llc is 39 Route 171, Woodstock, Connecticut. For appointments, you can reach them via phone at
(860) 776-0187. The mailing address for Rose Kihara Nurse Practitioner Llc is Po Box 922, Woodstock, Connecticut and phone number is (860) 315-1198.
Rose Kihara Nurse Practitioner Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1952890105. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(860) 776-0187.
Primary Care Clinic Profile
| Full Name | Rose Kihara Nurse Practitioner Llc |
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| Speciality | Clinic/Center |
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| Location | 39 Route 171, Woodstock, Connecticut |
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| Authorized Official Name and Position | Rose Kihara (APRN) |
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| Authorized Official Contact | 8603151198 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Rose Kihara Nurse Practitioner Llc
Po Box 922
Woodstock
CT 06281-3044
Ph: (860) 315-1198 | Rose Kihara Nurse Practitioner Llc
39 Route 171
Woodstock
CT 06281
Ph: (860) 776-0187 |
NPI Details:
| NPI Number | 1952890105 |
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| Provider Enumeration Date | 05/03/2018 |
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| Last Update Date | 04/03/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4486904950 |
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| Medicare Enrollment ID | O20180904001444 |
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Medical Identifiers
Medical identifiers for Rose Kihara Nurse Practitioner Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952890105 | NPI | - | NPPES |
| 008023376 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Rose Kihara Nurse Practitioner Llc acts as a billing entity for following providers:
| Provider Name | Rose Kihara |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1649506445
PECOS PAC ID: 7416128020
Enrollment ID: I20110912000235 |
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| Provider Name | Anne Amberg |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1538257779
PECOS PAC ID: 4587753959
Enrollment ID: I20160721000289 |
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