Jacquelyn Outcalt Groshong, MD - Pediatrics in Roseburg, OR

Jacquelyn Outcalt Groshong, MD is a Pediatrics physician based in Roseburg, Oregon. Jacquelyn Outcalt Groshong is licensed to practice in Oregon (license number MD18388) and her current practice location is 201 Medical Loop Rd, Suite 170, Roseburg, Oregon. She can be reached at her office (for appointments etc.) via phone at (541) 957-5437.

NPI number for Jacquelyn Outcalt Groshong is 1700893674 and her current mailing address is Po Box 1700, Roseburg, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700893674.

Contact Information

Jacquelyn Outcalt Groshong, MD
201 Medical Loop Rd, Suite 170,
Roseburg, OR 97471-8835
(541) 957-5437
(541) 464-5441

Map and Direction




Physician's Profile

Full NameJacquelyn Outcalt Groshong
GenderFemale
SpecialityPediatrics
Location201 Medical Loop Rd, Roseburg, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700893674
  • Provider Enumeration Date: 08/02/2006
  • Last Update Date: 09/10/2015

Medical Identifiers

Medical identifiers for Jacquelyn Outcalt Groshong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700893674NPI-NPPES
070511MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD18388 (Oregon)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. Jacquelyn Outcalt Groshong 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 AddressPractice Location Address
Jacquelyn Outcalt Groshong, MD
Po Box 1700,
Roseburg, OR 97470-0414

Ph: (541) 957-5437
Jacquelyn Outcalt Groshong, MD
201 Medical Loop Rd, Suite 170,
Roseburg, OR 97471-8835

Ph: (541) 957-5437

Reviews and Comments


Pediatrics Doctors in Roseburg, OR

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Dr. Elizabeth Bish Young, M.D.
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Mrs. Cynthia Blinn Steele, MSN, FNP-BC
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Phone: 541-672-9596    

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