Mr Glenn Curtis Groom, PA is a medicare enrolled "Physician Assistant" physician in Munster, Indiana. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Franciscan Physician Network and his current practice location is
7905 Calumet Ave, Munster, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 836-5800.
Mr Glenn Curtis Groom is licensed to practice in Indiana (license number 10000975A) 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 1871678144.
Physician's Profile
| Full Name | Mr Glenn Curtis Groom |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 18 Years |
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| Location | 7905 Calumet Ave, Munster, Indiana |
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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:
- Mr Glenn Curtis Groom graduated from medical school in 2006
NPI Data:
- NPI Number: 1871678144
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 2668471731
- Enrollment ID: I20080225000512
Medical Identifiers
Medical identifiers for Mr Glenn Curtis Groom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871678144 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 5601004940 (Michigan) | Secondary |
| 363A00000X | Physician Assistant | 5601004940 (Michigan) | Secondary |
| 363A00000X | Physician Assistant | 10000975A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Franciscan Physician Network | 3072790682 | 983 |
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. Mr Glenn Curtis Groom 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 |
|---|
Mr Glenn Curtis Groom, PA
Po Box 781076,
Detroit, MI 48278-1076
Ph: (317) 528-4800 | Mr Glenn Curtis Groom, PA
7905 Calumet Ave,
Munster, IN 46321-2549
Ph: (219) 836-5800 |
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