Miss Kelly C Gruenloh, RPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Los Osos, California. Her current practice location is
417 Henrietta Ave, Los Osos, California. You can reach out to her office (for appointments etc.) via phone at
(805) 239-3696.
Miss Kelly C Gruenloh is licensed to practice in California (license number PT30378) 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 1346308764.
Physician's Profile
| Full Name | Miss Kelly C Gruenloh |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 417 Henrietta Ave, Los Osos, California |
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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. |
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Medical Education and Training:
- Miss Kelly C Gruenloh attended and graduated from in
NPI Data:
- NPI Number: 1346308764
- Provider Enumeration Date: 12/05/2006
- Last Update Date: 12/10/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Miss Kelly C Gruenloh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346308764 | NPI | - | NPPES |
| GPT001411 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | PT30378 (California) | 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. Miss Kelly C Gruenloh 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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Miss Kelly C Gruenloh, RPT
417 Henrietta Ave,
Los Osos, CA 93402-2519
Ph: (805) 239-3696 | Miss Kelly C Gruenloh, RPT
417 Henrietta Ave,
Los Osos, CA 93402-2519
Ph: (805) 239-3696 |
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