Dr Paul J Gruber, MD is a medicare enrolled "Dermatology" physician in Saint Peters, Missouri. He went to Wright State University Boonshoft School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Forefront Dermatology and his current practice location is
5700 Mexico Rd Ste 14, Saint Peters, Missouri. You can reach out to his office (for appointments etc.) via phone at
(636) 277-0371.
Dr Paul J Gruber is licensed to practice in Missouri (license number 2019029136) 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 1134547656.
Physician's Profile
Full Name | Dr Paul J Gruber |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 10 Years |
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Location | 5700 Mexico Rd Ste 14, Saint Peters, Missouri |
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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. |
Medical Education and Training:
- Dr Paul J Gruber attended and graduated from Wright State University Boonshoft School Of Medicine in 2014
NPI Data:
- NPI Number: 1134547656
- Provider Enumeration Date: 04/01/2014
- Last Update Date: 08/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 6507168937
- Enrollment ID: I20190822001101
Medical Identifiers
Medical identifiers for Dr Paul J Gruber such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134547656 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 35.133142 (Ohio) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 2019029136 (Missouri) | Secondary |
207N00000X | Dermatology | 2019029136 (Missouri) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Forefront Dermatology | 3779471701 | 483 |
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 Paul J Gruber allows following entities to bill medicare on his behalf.
Entity Name | Forefront Dermatology Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891179040 PECOS PAC ID: 3779471701 Enrollment ID: O20150922001275 |
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Entity Name | Ssm Health Care Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
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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 Paul J Gruber 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 Paul J Gruber, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Dr Paul J Gruber, MD 5700 Mexico Rd Ste 14, Saint Peters, MO 63376-1667 Ph: (636) 277-0371 |
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