Marc Grodsky, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Green Bay, Wisconsin. He went to Medical College Of Wisconsin and graduated in 2006 and has 18 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice St Vincent Hospital-hospital Sisters-third Order Of St Francis and his current practice location is
670 Cormier Rd, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 494-9685.
Marc Grodsky is licensed to practice in Wisconsin (license number 62935-20) 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 1639379118.
Physician's Profile
| Full Name | Marc Grodsky |
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| Gender | Male |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 18 Years |
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| Location | 670 Cormier Rd, Green Bay, Wisconsin |
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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:
- Marc Grodsky attended and graduated from Medical College Of Wisconsin in 2006
NPI Data:
- NPI Number: 1639379118
- Provider Enumeration Date: 07/23/2007
- Last Update Date: 10/16/2014
Medicare PECOS Information:
- PECOS PAC ID: 6800015033
- Enrollment ID: I20140919000978
Medical Identifiers
Medical identifiers for Marc Grodsky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639379118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | MD041610 (District Of Columbia) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 62935-20 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Vincent Hospital-hospital Sisters-third Order Of St Francis | 5799694675 | 546 |
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. Marc Grodsky allows following entities to bill medicare on his behalf.
| Entity Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172 |
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| Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423 |
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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. Marc Grodsky 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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Marc Grodsky, MD
670 Cormier Rd,
Green Bay, WI 54304-4824
Ph: (920) 494-9685 | Marc Grodsky, MD
670 Cormier Rd,
Green Bay, WI 54304-4824
Ph: (920) 494-9685 |
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