Jack Grossman, DO is a
Student In An Organized Health Care Education/training Program physician based in Philadelphia, Pennsylvania. Jack Grossman is licensed to practice in * (Not Available) (license number ) and his current practice location is 801 Ostrum St, Bethlehem, Philadelphia, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(484) 526-4000.
NPI number for Jack Grossman is 1255076410 and his current mailing address is 801 Ostrum St, Bethlehem, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255076410.
Physician's Profile
| Full Name | Jack Grossman |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 801 Ostrum St, Philadelphia, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255076410
- Provider Enumeration Date: 05/02/2022
- Last Update Date: 07/03/2023
Medical Identifiers
Medical identifiers for Jack Grossman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255076410 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | OT022084 (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Jack Grossman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jack Grossman, DO
801 Ostrum St,
Bethlehem, PA 18015-1000
Ph: (484) 526-4000 | Jack Grossman, DO
801 Ostrum St, Bethlehem,
Philadelphia, PA 18015
Ph: (484) 526-4000 |
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