Michael Robert Grossman, DO - Medicare Emergency Medicine in Corry, PA

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Michael Robert Grossman, DO is a medicare enrolled "Emergency Medicine" physician in Corry, Pennsylvania. His current practice location is 965 Shamrock Ln, Corry, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 664-4641.

Michael Robert Grossman is licensed to practice in Pennsylvania (license number OS010419L) 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 1710929708.

Contact Information

Michael Robert Grossman, DO
965 Shamrock Ln,
Corry, PA 16407-1196
(814) 664-4641
(814) 664-8799

Map and Direction




Physician's Profile

Full NameMichael Robert Grossman
GenderMale
SpecialityEmergency Medicine
Location965 Shamrock Ln, Corry, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710929708
  • Provider Enumeration Date: 06/12/2006
  • Last Update Date: 12/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1153387774
  • Enrollment ID: I20041206000879

Medical Identifiers

Medical identifiers for Michael Robert Grossman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710929708NPI-NPPES
204624381CMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 051467 (Georgia)Secondary
207P00000XEmergency Medicine OS010419L (Pennsylvania)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. Michael Robert Grossman allows following entities to bill medicare on his behalf.
Entity NameDonalsonville Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720095805
PECOS PAC ID: 7113919820
Enrollment ID: O20040401001194
Entity NameErx Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760823082
PECOS PAC ID: 9335037571
Enrollment ID: O20130930000326
Entity NameSouthland Dodge Emergency Medical Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851958607
PECOS PAC ID: 8224360805
Enrollment ID: O20191031001338
Entity NameSouthland Dodge Hospitalist Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346894334
PECOS PAC ID: 7113259664
Enrollment ID: O20191101001455

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. Michael Robert Grossman 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 AddressPractice Location Address
Michael Robert Grossman, DO
1 Lecom Pl,
Erie, PA 16505-2571

Ph: (814) 868-2507		Michael Robert Grossman, DO
965 Shamrock Ln,
Corry, PA 16407-1196

Ph: (814) 664-4641

Reviews and Comments


Emergency Medicine Doctors in Corry, PA

Dr. Michael Antoon, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 612 W Smith St, Corry, PA 16407
Phone: 180-083-4486    
Dr. Jonathan L Spaulding, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 965 Shamrock Ln, Corry, PA 16407
Phone: 814-664-4641    Fax: 814-663-9900

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.