Bryan D Grooms, DO is a medicare enrolled "Family Medicine" physician in Winchester, Ohio. His current practice location is
Po Box 155, Winchester, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 695-0770.
Bryan D Grooms is licensed to practice in Ohio (license number 34.010744) 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 1902192941.
Physician's Profile
| Full Name | Bryan D Grooms |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | Po Box 155, Winchester, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1902192941
- Provider Enumeration Date: 06/28/2011
- Last Update Date: 11/10/2017
Medicare PECOS Information:
- PECOS PAC ID: 7810133386
- Enrollment ID: I20130429000672
Medical Identifiers
Medical identifiers for Bryan D Grooms such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902192941 | NPI | - | NPPES |
| 0081452 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | TP627 (Kentucky) | Secondary |
| 207Q00000X | Family Medicine | 34.010744 (Ohio) | 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. Bryan D Grooms allows following entities to bill medicare on his behalf.
| Entity Name | Adams County Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851946909
PECOS PAC ID: 8921431131
Enrollment ID: O20200427002166 |
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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. Bryan D Grooms 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 |
|---|
Bryan D Grooms, DO
Po Box 155,
Winchester, OH 45697-0155
Ph: (937) 695-0770 | Bryan D Grooms, DO
Po Box 155,
Winchester, OH 45697-0155
Ph: (937) 695-0770 |
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