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Gretchen L. Hermes

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

1 Long Wharf Dr, New Haven, CT 06511-5946

PECOS Enrollment

This provider is enrolled in PECOS as GRETCHEN HERMES.

Based on the most recent information from CMS, provider Gretchen L. Hermes is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 12:57 PM.

Profile Details

Provider ID
1710161948
Provider Type
Individual
Full Name
Hermes, Gretchen L.
Title
Dr.
Credential
M.D./PHD./MTS

Gender
Female
Sole Proprietor
No
Enumeration Date
12/24/2007
Last Updated
1/24/2022

Contact Information

Practice Location

1 Long Wharf Dr, New Haven, CT 06511-5946

(203) 781-4600

(203) 781-4624

Mailing Location

1 Long Wharf Dr, New Haven, CT 06511-5946

(203) 781-4600

(203) 781-4624

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 048150 Connecticut

Provider Identifiers

ID	Description	Issuer
ID 008003745	Description Medicaid	Issuer Unlisted Connecticut
ID 008039605	Description Other	Issuer HERMES MEDICAID # Connecticut
ID 004041000	Description Medicaid	Issuer Unlisted Connecticut

Gretchen L. Hermes

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Abdelnour, Elie

Cumberbatch, Evelyn

Levin Psychiatric Llc

Gaston, Evan James

Munivar, Azim Momin

Theodore Zanker, M.D., Pc

Plotke, Gary S

Levin, Gale A

Johnson, Matthew J

Kelmendi, Benjamin