Grigoriy A Rozenfeld, DO is a medicare enrolled "Emergency Medicine" physician in Lacey, Washington. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2008 and has 16 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Providence Health And Services Washington and his current practice location is
4800 College St Se, Lacey, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 486-2900.
Grigoriy A Rozenfeld is licensed to practice in Washington (license number OP61084938) 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 1114167293.
Physician's Profile
Full Name | Grigoriy A Rozenfeld |
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Gender | Male |
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Speciality | Emergency Medicine |
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Experience | 16 Years |
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Location | 4800 College St Se, Lacey, Washington |
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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:
- Grigoriy A Rozenfeld attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2008
NPI Data:
- NPI Number: 1114167293
- Provider Enumeration Date: 03/02/2009
- Last Update Date: 11/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 8729300553
- Enrollment ID: I20211019002378
Medical Identifiers
Medical identifiers for Grigoriy A Rozenfeld such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114167293 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | OP61084938 (Washington) | Primary |
207P00000X | Emergency Medicine | 20A11107 (California) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Providence Health And Services Washington | 6709782600 | 387 |
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. Grigoriy A Rozenfeld allows following entities to bill medicare on his behalf.
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
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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. Grigoriy A Rozenfeld 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 |
Grigoriy A Rozenfeld, DO 4800 College St Se, Lacey, WA 98503-4389 Ph: (360) 486-2900 | Grigoriy A Rozenfeld, DO 4800 College St Se, Lacey, WA 98503-4389 Ph: (360) 486-2900 |
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