Dr Kenneth Frederick Grossmann, MD in Salt Lake City, UT

Dr Kenneth Frederick Grossmann, MD is a medicare enrolled "Internal Medicine - Medical Oncology" physician in Salt Lake City, Utah. His current practice location is 2000 Circle Of Hope, Clinic 2b, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 585-0100.

Dr Kenneth Frederick Grossmann is licensed to practice in Utah (license number 6731091-1205) 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 1083827455.

Contact Information

	Dr Kenneth Frederick Grossmann, MD
	2000 Circle Of Hope, Clinic 2b, Salt Lake City, UT 84112-5550
	(801) 585-0100
	(801) 581-7381

Map and Direction

Physician's Profile

Full Name	Dr Kenneth Frederick Grossmann
Gender	Male
Speciality	Internal Medicine - Medical Oncology
Location	2000 Circle Of Hope, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083827455
Provider Enumeration Date: 05/08/2007
Last Update Date: 12/10/2021

Medicare PECOS Information:

PECOS PAC ID: 9931253242
Enrollment ID: I20240318002572

Medical Identifiers

Medical identifiers for Dr Kenneth Frederick Grossmann such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083827455	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RX0202X	Internal Medicine - Medical Oncology	6731091-1205 (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. Dr Kenneth Frederick Grossmann allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153

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 Kenneth Frederick Grossmann 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 Kenneth Frederick Grossmann, MD 127 S 500 E Ste 600, Salt Lake City, UT 84102-1971 Ph: (801) 587-6705	Dr Kenneth Frederick Grossmann, MD 2000 Circle Of Hope, Clinic 2b, Salt Lake City, UT 84112-5550 Ph: (801) 585-0100

Reviews and Comments

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Siddharth K. Iyengar, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606
Taryn A. Young, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-4384 Fax: 801-507-4398
David C. Haak, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-585-3580
Therese J. Battiola, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606

Dr Kenneth Frederick Grossmann, MD - Medicare Internal Medicine in Salt Lake City, UT