Thomas W Grossman Jr, MD - Medicare Orthopaedic Surgery in Waupun, WI

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Thomas W Grossman Jr, MD is a medicare enrolled "Orthopaedic Surgery" physician in Waupun, Wisconsin. His current practice location is 608 W Brown St, Waupun, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 324-6802.

Thomas W Grossman Jr is licensed to practice in Wisconsin (license number 36420) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699749689.

Contact Information

Thomas W Grossman Jr, MD
608 W Brown St,
Waupun, WI 53963-1702
(920) 324-6802
Not Available

Map and Direction




Physician's Profile

Full NameThomas W Grossman Jr
GenderMale
SpecialityOrthopaedic Surgery
Location608 W Brown St, Waupun, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699749689
  • Provider Enumeration Date: 02/15/2006
  • Last Update Date: 02/17/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2163468240
  • Enrollment ID: I20050711000658

Medical Identifiers

Medical identifiers for Thomas W Grossman Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699749689NPI-NPPES
32523000MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 36420 (Wisconsin)Primary

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. Thomas W Grossman Jr allows following entities to bill medicare on his behalf.
Entity NameRock River Community Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184220659
PECOS PAC ID: 3971906983
Enrollment ID: O20210728003728

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. Thomas W Grossman Jr 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 AddressPractice Location Address
Thomas W Grossman Jr, MD
420 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-8340		Thomas W Grossman Jr, MD
608 W Brown St,
Waupun, WI 53963-1702

Ph: (920) 324-6802

Reviews and Comments


Orthopaedic Surgery Doctors in Waupun, WI

Eric R Nelson, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 608 W Brown St, Waupun, WI 53963
Phone: 920-324-6802    
Bert C Callahan, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 608 W Brown St, Waupun, WI 53963
Phone: 920-324-6802    Fax: 920-324-8428

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.