Dr James Grovenburg, MD is a medicare enrolled "Family Medicine - Addiction Medicine" physician in Kerhonkson, New York. He graduated from medical school in 1987 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Tabasco Family Practice Pllc and his current practice location is
5 Golden Ln, Kerhonkson, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 626-3424.
Dr James Grovenburg is licensed to practice in New York (license number 181048-1) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710022447.
Physician's Profile
| Full Name | Dr James Grovenburg |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 38 Years |
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| Location | 5 Golden Ln, Kerhonkson, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr James Grovenburg graduated from medical school in 1987
NPI Data:
- NPI Number: 1710022447
- Provider Enumeration Date: 02/20/2007
- Last Update Date: 11/02/2007
Medicare PECOS Information:
- PECOS PAC ID: 8224010343
- Enrollment ID: I20040602001708
Medical Identifiers
Medical identifiers for Dr James Grovenburg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710022447 | NPI | - | NPPES |
| 01805201 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207QA0401X | Family Medicine - Addiction Medicine | 181048-1 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tabasco Family Practice Pllc | 9234111345 | 2 |
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. Dr James Grovenburg allows following entities to bill medicare on his behalf.
| Entity Name | Tabasco Family Practice Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073701579
PECOS PAC ID: 9234111345
Enrollment ID: O20040602001693 |
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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. Dr James Grovenburg 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 |
|---|
Dr James Grovenburg, MD
5 Golden Lane,
Kerhonkson, NY 12446
Ph: (845) 626-3424 | Dr James Grovenburg, MD
5 Golden Ln,
Kerhonkson, NY 12446-1609
Ph: (845) 626-3424 |
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