Steven R Dieterich, MD - Family Medicine in East Granby, CT

Steven R Dieterich, MD is a Family Medicine physician based in East Granby, Connecticut. Steven R Dieterich is licensed to practice in Connecticut (license number 018693) and his current practice location is 13 Church Rd, East Granby, Connecticut. He can be reached at his office (for appointments etc.) via phone at (860) 653-4526.

NPI number for Steven R Dieterich is 1063499127 and his current mailing address is Po Box 518, 13 Church Rd, East Granby, Connecticut. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063499127.

Contact Information

Steven R Dieterich, MD
13 Church Rd,
East Granby, CT 06026-0518
(860) 653-4526
(860) 653-5209



Physician's Profile

Full NameSteven R Dieterich
GenderMale
SpecialityFamily Medicine
Location13 Church Rd, East Granby, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063499127
  • Provider Enumeration Date: 12/29/2005
  • Last Update Date: 01/18/2011

Medical Identifiers

Medical identifiers for Steven R Dieterich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063499127NPI-NPPES
140065OtherCTAETNA
001186931MedicaidCT
010018693CT01OtherCTBCBS
0104402OtherCTUNITED
018693OtherCTCT
HAP210OtherCTOXFORD
2085328005OtherCTCIGNA
0P0372OtherCTHEALTHNET

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 018693 (Connecticut)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. Steven R Dieterich 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 AddressPractice Location Address
Steven R Dieterich, MD
Po Box 518, 13 Church Rd,
East Granby, CT 06026-0518

Ph: (860) 653-4526
Steven R Dieterich, MD
13 Church Rd,
East Granby, CT 06026-0518

Ph: (860) 653-4526

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› Verified 3 days ago


Family Medicine Doctors in East Granby, CT

Ms. Elizabeth S Freedman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13 Church Rd, East Granby, CT 06026
Phone: 860-653-4526    Fax: 860-653-5307
Mrs. Anne M Reiher, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 13 Church Rd, East Granby, CT 06026
Phone: 860-653-5624    Fax: 860-653-5209
Khuram R Ghumman, MD, MPH, CPE, FAAFP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13 Church St, East Granby, CT 06026
Phone: 860-653-4526    Fax: 860-653-5209
Mr. Edward M Ewald, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13 Church Rd, East Granby, CT 06026
Phone: 860-653-4526    Fax: 860-653-5209
Tejal Kothari Shaikh, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13 Church Rd, East Granby, CT 06026
Phone: 860-653-4526    
Dr. Daniel Michael Lerner, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13 Church St, East Granby, CT 06026
Phone: 860-653-4526    Fax: 860-653-5209

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