Kathy D Grove, MD is a medicare enrolled "Surgery" physician in Odessa, Texas 79761, Texas. She went to Wright State University Boonshoft School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Mch Traumacare, Urgent Specialty Associates Of Texas Pllc and her current practice location is
500 W Forth St, Odessa, Texas 79761, Texas. You can reach out to her office (for appointments etc.) via phone at
(432) 640-1184.
Kathy D Grove is licensed to practice in Texas (license number L7401) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710912860.
Physician's Profile
Full Name | Kathy D Grove |
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Gender | Female |
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Speciality | General Surgery |
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Experience | 26 Years |
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Location | 500 W Forth St, Odessa, Texas 79761, Texas |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kathy D Grove attended and graduated from Wright State University Boonshoft School Of Medicine in 1998
NPI Data:
- NPI Number: 1710912860
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 12/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 1759332166
- Enrollment ID: I20050202001013
Medical Identifiers
Medical identifiers for Kathy D Grove such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710912860 | NPI | - | NPPES |
6678943 | Other | TX | CIGNA |
0097MB | Other | TX | BLUE CROSS BLUE SHIELD |
160045404 | Medicaid | TX | |
160045402 | Medicaid | TX | |
3776353 | Other | TX | AETNA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | MD60652282 (Washington) | Secondary |
208600000X | Surgery | L7401 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mch Traumacare | 4486036662 | 5 |
Urgent Specialty Associates Of Texas Pllc | 6507258209 | 51 |
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. Kathy D Grove allows following entities to bill medicare on her behalf.
Entity Name | Urgent Specialty Associates Of Texas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790350445 PECOS PAC ID: 6507258209 Enrollment ID: O20220107002070 |
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Entity Name | Mch Traumacare |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043956915 PECOS PAC ID: 4486036662 Enrollment ID: O20220804001173 |
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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. Kathy D Grove 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 |
Kathy D Grove, MD 15902 La Madera Rio, Helotes, TX 78023-3688 Ph: (210) 488-2542 | Kathy D Grove, MD 500 W Forth St, Odessa, Texas 79761, TX 78215-1137 Ph: (432) 640-1184 |
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