Jeffrey Wayne Grossman, MD | |
2031 E Mountain Vista Dr, Coeur D Alene, ID 83815-9683 | |
(208) 570-3342 | |
Not Available |
Full Name | Jeffrey Wayne Grossman |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 22 Years |
Location | 2031 E Mountain Vista Dr, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083751366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | M-10276 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Palm Beach Gardens Medical Center | Palm beach gardens, FL | Hospital |
Enloe Medical Center | Chico, CA | Hospital |
Our Lady Of Lourdes Regional Medical Center, Inc | Lafayette, LA | Hospital |
St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
Concord Hospital | Concord, NH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gardens Radiology Associates Pa | 0244128635 | 8 |
St Lukes Clinic Llc | 1052217478 | 274 |
Oroville Hospital | 1254234339 | 82 |
Acadiana Radiology Group | 1355403114 | 61 |
Wayne Radiologists Pa | 2769496066 | 26 |
X-ray Professional Association | 3375539927 | 59 |
Columbus Radiology Physicians Llc | 3971863416 | 59 |
Cumberland Imaging Associates Pc | 4284735051 | 51 |
South Florida Medical Imaging Pa | 7618869900 | 48 |
Tennessee Valley Radiology Llc | 9133105521 | 30 |
Enloe Medical Center | 9739092388 | 295 |
Intercity Radiology Pc | 9830003847 | 40 |
Entity Name | St Lukes Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
Entity Name | Medical Imaging Associates Of Idaho Falls Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740225531 PECOS PAC ID: 7618876590 Enrollment ID: O20040108000883 |
Entity Name | Direct Radiology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144572173 PECOS PAC ID: 9436396165 Enrollment ID: O20140226000947 |
Entity Name | Oroville Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710372909 PECOS PAC ID: 1254234339 Enrollment ID: O20160411000609 |
Entity Name | Enloe Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477975613 PECOS PAC ID: 9739092388 Enrollment ID: O20180925003373 |
Entity Name | Radiology Group Of Abington Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477541035 PECOS PAC ID: 5991780892 Enrollment ID: O20181005002727 |
Entity Name | South Florida Medical Imaging Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518945575 PECOS PAC ID: 7618869900 Enrollment ID: O20181107001317 |
Entity Name | Jason L Hwang Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811486616 PECOS PAC ID: 6103171012 Enrollment ID: O20181130002547 |
Entity Name | Simi Radiology And Imaging Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730132275 PECOS PAC ID: 6507845369 Enrollment ID: O20181210003272 |
Entity Name | Intercity Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356390736 PECOS PAC ID: 9830003847 Enrollment ID: O20190117002154 |
Entity Name | Gardens Radiology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609814656 PECOS PAC ID: 0244128635 Enrollment ID: O20190320000486 |
Entity Name | Acadiana Radiology Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649422726 PECOS PAC ID: 1355403114 Enrollment ID: O20190516001650 |
Entity Name | Catawba Radiological Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679684948 PECOS PAC ID: 9335036789 Enrollment ID: O20190710002272 |
Entity Name | Radiology Consultants Of Lynchburg Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922037043 PECOS PAC ID: 8022077205 Enrollment ID: O20190711002814 |
Entity Name | Houston County Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851642540 PECOS PAC ID: 2668636036 Enrollment ID: O20190725003883 |
Entity Name | Columbus Radiology Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467964718 PECOS PAC ID: 3971863416 Enrollment ID: O20190819001670 |
Entity Name | Cumberland Imaging Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437279262 PECOS PAC ID: 4284735051 Enrollment ID: O20200115000805 |
Entity Name | Mountain Medical Physician Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720035520 PECOS PAC ID: 5294639407 Enrollment ID: O20200319002100 |
Entity Name | Tennessee Valley Radiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356367551 PECOS PAC ID: 9133105521 Enrollment ID: O20200414000153 |
Entity Name | X-ray Professional Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790758449 PECOS PAC ID: 3375539927 Enrollment ID: O20200908003064 |
Entity Name | Medford Radiological Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407938111 PECOS PAC ID: 2062303324 Enrollment ID: O20201015001208 |
Entity Name | Wayne Radiologists Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093779621 PECOS PAC ID: 2769496066 Enrollment ID: O20201209000754 |
Entity Name | Concord Radiology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598260515 PECOS PAC ID: 8628332061 Enrollment ID: O20210510000876 |
Entity Name | Benefis Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780968974 PECOS PAC ID: 1153235296 Enrollment ID: O20211007001729 |
Entity Name | Cmsc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639109978 PECOS PAC ID: 5890602494 Enrollment ID: O20240228003518 |
Entity Name | Eastern Radiological Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639102171 PECOS PAC ID: 0345232732 Enrollment ID: O20240305003574 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Wayne Grossman, MD 22100 Bothell Everett Hwy, Bothell, WA 98021-8431 Ph: (855) 687-7237 | Jeffrey Wayne Grossman, MD 2031 E Mountain Vista Dr, Coeur D Alene, ID 83815-9683 Ph: (208) 570-3342 |
Brian J Mcnamee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr, Suite 110, Coeur D Alene, ID 83814 Phone: 208-666-3200 Fax: 208-666-3217 | |
Dr. Michael Gerardo Melendez, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2789 E Spyglass Ct, Coeur D Alene, ID 83815 Phone: 208-610-0041 Fax: 208-777-1313 | |
Lauren Gayle Deur, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Northwest Blvd, Suite #202, Coeur D Alene, ID 83814 Phone: 208-292-2263 Fax: 208-292-3130 | |
Dr. George F. Knight, M. D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 601 Front Avenue, Suite #502, Coeur D Alene, ID 83814 Phone: 208-415-0524 Fax: 208-763-3644 | |
Dr. Bryan Douglas Berkey, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814 Phone: 208-625-3000 Fax: 208-625-6301 | |
Dr. Albert Jose Martinez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814 Phone: 208-625-6309 Fax: 208-625-6310 |