Larry Jay Grong, DO is a medicare enrolled "Internal Medicine" physician in Dawson, Minnesota. His current practice location is
1282 Walnut St, Dawson, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 769-7393.
Larry Jay Grong is licensed to practice in Minnesota (license number 39995) 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 1871653758.
Physician's Profile
Full Name | Larry Jay Grong |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1282 Walnut St, Dawson, Minnesota |
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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:
- Larry Jay Grong attended and graduated from in
NPI Data:
- NPI Number: 1871653758
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 03/18/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Larry Jay Grong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871653758 | NPI | - | NPPES |
4150236-00 | Medicaid | MN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 39995 (Minnesota) | 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. Larry Jay Grong 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 |
Larry Jay Grong, DO 1282 Walnut St, Dawson, MN 56232-2333 Ph: (320) 769-7393 | Larry Jay Grong, DO 1282 Walnut St, Dawson, MN 56232 Ph: (320) 769-7393 |
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