Mr Shawn Reed Groll, DMD is a medicare enrolled "Dentist - General Practice" provider in Hyrum, Utah. His current practice location is
26 W Main St, Hyrum, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 245-5866.
Mr Shawn Reed Groll is licensed to practice in Utah (license number 973464979922) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700801644.
Healthcare Provider's Profile
Full Name | Mr Shawn Reed Groll |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 26 W Main St, Hyrum, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700801644
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4789971607
- Enrollment ID: I20160921000554
Medical Identifiers
Medical identifiers for Mr Shawn Reed Groll such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700801644 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 973464979922 (Utah) | 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. Mr Shawn Reed Groll is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Shawn Reed Groll, DMD 26 W Main St, Hyrum, UT 84319-1206 Ph: (435) 245-5866 | Mr Shawn Reed Groll, DMD 26 W Main St, Hyrum, UT 84319-1206 Ph: (435) 245-5866 |
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