Kenneth Randell Grossman, MD is a medicare enrolled "Ophthalmology" physician in Merced, California. He went to University Of California, San Diego School Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Kenneth R Grossman Md Inc and his current practice location is
580 Collins Dr, Merced, California. You can reach out to his office (for appointments etc.) via phone at
(209) 383-0989.
Kenneth Randell Grossman is licensed to practice in California (license number G50711) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184684672.
Physician's Profile
Full Name | Kenneth Randell Grossman |
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Gender | Male |
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Speciality | Ophthalmology |
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Experience | 42 Years |
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Location | 580 Collins Dr, Merced, California |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kenneth Randell Grossman attended and graduated from University Of California, San Diego School Of Medicine in 1982
NPI Data:
- NPI Number: 1184684672
- Provider Enumeration Date: 03/27/2006
- Last Update Date: 07/06/2009
Medicare PECOS Information:
- PECOS PAC ID: 3274684972
- Enrollment ID: I20090618000739
Medical Identifiers
Medical identifiers for Kenneth Randell Grossman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184684672 | NPI | - | NPPES |
GR0087430 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | G50711 (California) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Kenneth R Grossman Md Inc | 6507813169 | 2 |
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. Kenneth Randell Grossman allows following entities to bill medicare on his behalf.
Entity Name | Kenneth R Grossman Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174537021 PECOS PAC ID: 6507813169 Enrollment ID: O20050405001373 |
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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. Kenneth Randell Grossman 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 |
Kenneth Randell Grossman, MD 580 Collins Dr, Merced, CA 95348-3121 Ph: (209) 383-0989 | Kenneth Randell Grossman, MD 580 Collins Dr, Merced, CA 95348-3121 Ph: (209) 383-0989 |
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