Dr Timothy Guy Grube, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Frackville, Pennsylvania. He went to Philadelphia College Of Osteopathic Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Integrated Medical Group, P.c. and his current practice location is
219 S Balliet St, Frackville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 874-3404.
Dr Timothy Guy Grube is licensed to practice in Pennsylvania (license number OS009280L) 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 1194720870.
Physician's Profile
| Full Name | Dr Timothy Guy Grube |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 29 Years |
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| Location | 219 S Balliet St, Frackville, Pennsylvania |
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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 Timothy Guy Grube attended and graduated from Philadelphia College Of Osteopathic Medicine in 1995
NPI Data:
- NPI Number: 1194720870
- Provider Enumeration Date: 06/17/2005
- Last Update Date: 09/10/2014
Medicare PECOS Information:
- PECOS PAC ID: 9436337649
- Enrollment ID: I20110616000640
Medical Identifiers
Medical identifiers for Dr Timothy Guy Grube such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194720870 | NPI | - | NPPES |
| 0018174270002 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | OS009280L (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Integrated Medical Group, P.c. | 1355247180 | 97 |
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 Timothy Guy Grube allows following entities to bill medicare on his behalf.
| Entity Name | Integrated Medical Group, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336102268
PECOS PAC ID: 1355247180
Enrollment ID: O20031211000232 |
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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 Timothy Guy Grube 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 Timothy Guy Grube, DO
219 S Balliet St,
Frackville, PA 17931-2105
Ph: (570) 874-3404 | Dr Timothy Guy Grube, DO
219 S Balliet St,
Frackville, PA 17931-2105
Ph: (570) 874-3404 |
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