Dr Mark Henry Grosserode, MD is a
Internal Medicine - Infectious Disease physician based in Tusla, Oklahoma. Dr Mark Henry Grosserode is licensed to practice in Oklahoma (license number 18167) and his current practice location is 6565 S Yale Ave, Ste 812, Tusla, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 494-9486.
NPI number for Dr Mark Henry Grosserode is 1841277290 and his current mailing address is 6565 S Yale Ave, Ste 812, Tusla, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841277290.
Physician's Profile
Full Name | Dr Mark Henry Grosserode |
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Gender | Male |
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Speciality | Internal Medicine - Infectious Disease |
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Location | 6565 S Yale Ave, Tusla, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841277290
- Provider Enumeration Date: 12/28/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mark Henry Grosserode such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841277290 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RI0200X | Internal Medicine - Infectious Disease | 18167 (Oklahoma) | 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. Dr Mark Henry Grosserode is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Mark Henry Grosserode, MD 6565 S Yale Ave, Ste 812, Tusla, OK 74136-8354 Ph: (918) 494-9486 | Dr Mark Henry Grosserode, MD 6565 S Yale Ave, Ste 812, Tusla, OK 74136-8354 Ph: (918) 494-9486 |
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