Holly L Grunebach, PA is a medicare enrolled "Physician Assistant" physician in Alexandria, Virginia. Her current practice location is
4320 Seminary Road, Alexandria Hospital, Alexandria, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 504-3066.
Holly L Grunebach is licensed to practice in Maryland (license number C04034) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669627899.
Physician's Profile
Full Name | Holly L Grunebach |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 4320 Seminary Road, Alexandria, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669627899
- Provider Enumeration Date: 12/02/2008
- Last Update Date: 04/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648334862
- Enrollment ID: I20120110000344
Medical Identifiers
Medical identifiers for Holly L Grunebach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669627899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 0110002874 (Virginia) | Secondary |
363A00000X | Physician Assistant | C04034 (Maryland) | Primary |
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. Holly L Grunebach 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 |
Holly L Grunebach, PA 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-2704 | Holly L Grunebach, PA 4320 Seminary Road, Alexandria Hospital, Alexandria, VA 22304 Ph: (703) 504-3066 |
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