Dr Michael Samuel Grossman, MD in Peoria, IL

Dr Michael Samuel Grossman, MD is a medicare enrolled "Ophthalmology" physician in Peoria, Illinois. His current practice location is 4505 N Rockwood Dr, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 589-1880.

Dr Michael Samuel Grossman is licensed to practice in Illinois (license number 036128242) 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 1215016662.

Contact Information

	Dr Michael Samuel Grossman, MD
	4505 N Rockwood Dr, Peoria, IL 61615-3803
	(309) 589-1880
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Michael Samuel Grossman
Gender	Male
Speciality	Ophthalmology
Location	4505 N Rockwood Dr, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215016662
Provider Enumeration Date: 11/06/2006
Last Update Date: 06/06/2023

Medicare PECOS Information:

PECOS PAC ID: 2567632920
Enrollment ID: I20111006000055

Medical Identifiers

Medical identifiers for Dr Michael Samuel Grossman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215016662	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	29207 (South Carolina)	Secondary
207W00000X	Ophthalmology	202629 (Louisiana)	Secondary
208D00000X	General Practice	036128242 (Illinois)	Secondary
207W00000X	Ophthalmology	036128242 (Illinois)	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 Michael Samuel Grossman allows following entities to bill medicare on his behalf.

Entity Name	Gary Finkelstein Md Eye Associates Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629185376 PECOS PAC ID: 2567430879 Enrollment ID: O20040923000454

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451

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 Michael Samuel 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 Address	Practice Location Address
Dr Michael Samuel Grossman, MD 3602 Marquette Rd, Peru, IL 61354-1450 Ph: (815) 223-7400	Dr Michael Samuel Grossman, MD 4505 N Rockwood Dr, Peoria, IL 61615-3803 Ph: (309) 589-1880

Reviews and Comments

Ophthalmology Doctors in Peoria, IL

Colin J Scott, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8921 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3869 Fax: 309-243-7918
Dr. Steven J Lichtenstein, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8921 N. Wood Sage Rd., Peoria, IL 61615 Phone: 309-243-2400 Fax: 309-243-7918
Osama Al Deyabat, MBBS Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 4927 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-308-3500
Dr. John P Rhode, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8921 N. Wood Sage Rd., Peoria, IL 61615 Phone: 309-243-2400 Fax: 309-243-7918
Dr. Thomas M Wyman, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8921 N. Wood Sage Rd., Peoria, IL 61615 Phone: 309-243-2400 Fax: 309-243-7918
Dr. Parashos A Lagouros, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 8921 N. Wood Sage Rd., Peoria, IL 61615 Phone: 309-243-2433 Fax: 309-243-7918
Stephen J Eyler, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8921 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-2400 Fax: 309-243-7918

Dr Michael Samuel Grossman, MD - Medicare Ophthalmology in Peoria, IL