Richard Grenville Diedrich, MD in Farmington, NM - Pediatrics

Richard Grenville Diedrich, MD is a Pediatrics physician based in Farmington, New Mexico. Richard Grenville Diedrich is licensed to practice in New Mexico (license number NM 80-29) and his current practice location is 1001 D W. Broadway, Farmington, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 327-4796.

NPI number for Richard Grenville Diedrich is 1255363149 and his current mailing address is 116 Pine River Ranch Cir, Bayfield, Colorado. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255363149.

Contact Information

	Richard Grenville Diedrich, MD
	1001 D W. Broadway, Farmington, NM 87401
	(505) 327-4796
	Not Available

Physician's Profile

Full Name	Richard Grenville Diedrich
Gender	Male
Speciality	Pediatrics
Location	1001 D W. Broadway, Farmington, New Mexico
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1255363149
Provider Enumeration Date: 07/07/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Richard Grenville Diedrich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255363149	NPI	-	NPPES
27870	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	NM 80-29 (New Mexico)	Primary

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. Richard Grenville Diedrich is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Richard Grenville Diedrich, MD 116 Pine River Ranch Cir, Bayfield, CO 81122-9325 Ph: (970) 884-4831	Richard Grenville Diedrich, MD 1001 D W. Broadway, Farmington, NM 87401 Ph: (505) 327-4796

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Pediatrics Doctors in Farmington, NM

R Stephen Rankin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2300 E 30th St, Bldg C2, Farmington, NM 87401 Phone: 505-324-1000 Fax: 505-324-1199
Preston Herrington Iii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 407 S Schwartz Ave, Ste 102, Farmington, NM 87401 Phone: 505-609-6700 Fax: 505-609-6701
.peggy R Tolliver, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 407 S Schwartz Ave, Suite 102, Farmington, NM 87401 Phone: 505-609-6700 Fax: 505-609-6701
Dr. Bradley J. Scoggins, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 407 S Schwartz Ave Ste 102, Farmington, NM 87401 Phone: 505-609-9700
Dr. Roberto Reble Bamba Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 407 S Schwartz Ave, Suite 102, Farmington, NM 87401 Phone: 505-609-6700 Fax: 505-609-6701
Dr. Page Pomo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 W Broadway Ste D, Farmington, NM 87401 Phone: 505-327-4796

Richard Grenville Diedrich, MD - Pediatrics in Farmington, NM