Dr Russell A Degroote, MD is a medicare enrolled "Orthopaedic Surgery" physician in Ketchikan, Alaska. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Russell Degroote Md Pc and his current practice location is
7559 N Tongass Ave, Ketchikan, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 247-9999.
Dr Russell A Degroote is licensed to practice in Washington (license number MD60661553) 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 1689684771.
Physician's Profile
| Full Name | Dr Russell A Degroote |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 30 Years |
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| Location | 7559 N Tongass Ave, Ketchikan, Alaska |
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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 Russell A Degroote graduated from medical school in 1994
NPI Data:
- NPI Number: 1689684771
- Provider Enumeration Date: 08/09/2006
- Last Update Date: 01/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 6608869607
- Enrollment ID: I20161221000265
Medical Identifiers
Medical identifiers for Dr Russell A Degroote such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689684771 | NPI | - | NPPES |
| 30471753 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 114055 (Alaska) | Secondary |
| 207X00000X | Orthopaedic Surgery | 26594 (Nebraska) | Secondary |
| 207X00000X | Orthopaedic Surgery | MD60661553 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Russell Degroote Md Pc | 7012926629 | 3 |
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 Russell A Degroote allows following entities to bill medicare on his behalf.
| Entity Name | Russell Degroote Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033278155
PECOS PAC ID: 7012926629
Enrollment ID: O20200403002768 |
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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 Russell A Degroote 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 |
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Dr Russell A Degroote, MD
265 Lisel Ln,
Port Angeles, WA 98362-7492
Ph: () - | Dr Russell A Degroote, MD
7559 N Tongass Ave,
Ketchikan, AK 99901-9182
Ph: (907) 247-9999 |
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