Dr Mark Land Grossetete, MD, PHD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Santa Rosa, New Mexico. His current practice location is
117 Camino De Vida Ste 300, Santa Rosa, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 472-4311.
Dr Mark Land Grossetete is licensed to practice in New Mexico (license number MD2017-0779) 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 1447592498.
Physician's Profile
| Full Name | Dr Mark Land Grossetete |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 117 Camino De Vida Ste 300, Santa Rosa, New Mexico |
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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 Mark Land Grossetete attended and graduated from in
NPI Data:
- NPI Number: 1447592498
- Provider Enumeration Date: 03/17/2013
- Last Update Date: 01/08/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Mark Land Grossetete such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447592498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | MD2017-0779 (New Mexico) | Secondary |
| 207LA0401X | Anesthesiology - Addiction Medicine | MD2017-0779 (New Mexico) | Secondary |
| 207R00000X | Internal Medicine | MD2017-0779 (New Mexico) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | MD2017-0779 (New Mexico) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (New Mexico) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | MD2017-0779 (New Mexico) | 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 Land Grossetete 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 Mark Land Grossetete, MD, PHD
117 Camino De Vida Ste 300,
Santa Rosa, NM 88435-2267
Ph: (575) 472-4311 | Dr Mark Land Grossetete, MD, PHD
117 Camino De Vida Ste 300,
Santa Rosa, NM 88435
Ph: (575) 472-4311 |
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