Andrew B Grose, DO in Providence, UT - Medicare Family Medicine

Andrew B Grose, DO is a medicare enrolled "Family Medicine" physician in Providence, Utah. His current practice location is 382 W 280 N, Providence, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 752-0330.

Andrew B Grose is licensed to practice in Utah (license number 12897926-1204) 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 1245895663.

Contact Information

	Andrew B Grose, DO
	382 W 280 N, Providence, UT 84332-9118
	(435) 752-0330
	(435) 755-0922

Map and Direction

Physician's Profile

Full Name	Andrew B Grose
Gender	Male
Speciality	Family Medicine
Location	382 W 280 N, Providence, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245895663
Provider Enumeration Date: 05/01/2019
Last Update Date: 09/26/2024

Medicare PECOS Information:

PECOS PAC ID: 7012383136
Enrollment ID: I20221014000899

Medical Identifiers

Medical identifiers for Andrew B Grose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245895663	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	12897926-1204 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andrew B Grose allows following entities to bill medicare on his behalf.

Entity Name	Ogden Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578550083 PECOS PAC ID: 9638078033 Enrollment ID: O20040105000780

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. Andrew B Grose 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
Andrew B Grose, DO Po Box 5546, Denver, CO 80217-5546 Ph: (801) 475-3500	Andrew B Grose, DO 382 W 280 N, Providence, UT 84332-9118 Ph: (435) 752-0330

Reviews and Comments

Family Medicine Doctors in Providence, UT

Dr. Kevin R Duke, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922
Vera B Carlson, MD, PHD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 565 W 465 N Ste 130, Providence, UT 84332 Phone: 435-752-5553 Fax: 435-755-5043
Jeremy Broadhurst, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 190 S Highway 165, Providence, UT 84332 Phone: 435-755-3300
Thomas H Clark, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 595 W 465 N, Providence, UT 84332 Phone: 385-238-3900 Fax: 385-238-3901
Dr. Lars Bergeson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922
James Dennis Mathews, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922

Andrew B Grose, DO - Medicare Family Medicine in Providence, UT