Kort M Gronbach, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Westerville, Ohio. He went to University Of Cincinnati College Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Legacy Healthcare Services Inc, Central Ohio Primary Care Physicians, Inc. and his current practice location is
568 S Cleveland Ave, Suite B, Westerville, Ohio. You can reach out to his office (for appointments etc.) via phone at
(614) 895-3344.
Kort M Gronbach is licensed to practice in Ohio (license number 35086736) 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 1336191170.
Physician's Profile
| Full Name | Kort M Gronbach |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 19 Years |
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| Location | 568 S Cleveland Ave, Westerville, Ohio |
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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. |
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Medical Education and Training:
- Kort M Gronbach attended and graduated from University Of Cincinnati College Of Medicine in 2005
NPI Data:
- NPI Number: 1336191170
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 11/02/2016
Medicare PECOS Information:
- PECOS PAC ID: 1850398033
- Enrollment ID: I20061101000015
Medical Identifiers
Medical identifiers for Kort M Gronbach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336191170 | NPI | - | NPPES |
| 2653285 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 35086736 (Ohio) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 35.086736 (Ohio) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 35086736 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Legacy Healthcare Services Inc | 2163339722 | 3341 |
| Central Ohio Primary Care Physicians, Inc. | 2769383785 | 490 |
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. Kort M Gronbach allows following entities to bill medicare on his behalf.
| Entity Name | Central Ohio Primary Care Physicians, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194705194
PECOS PAC ID: 2769383785
Enrollment ID: O20040114000204 |
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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. Kort M Gronbach 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 |
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Kort M Gronbach, MD
568 S Cleveland Ave, Suite B,
Westerville, OH 43081-8959
Ph: (614) 895-3344 | Kort M Gronbach, MD
568 S Cleveland Ave, Suite B,
Westerville, OH 43081-8959
Ph: (614) 895-3344 |
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