Toni K Gross, MD, MPH - Medicare Pediatric Medicine in New Orleans, LA

Toni K Gross, MD, MPH is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in New Orleans, Louisiana. She went to Eastern Virginia Medical School and graduated in 1999 and has 25 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Children's Hospital and her current practice location is 200 Henry Clay Ave, New Orleans, Louisiana. You can reach out to her office (for appointments etc.) via phone at (504) 896-6667.

Toni K Gross is licensed to practice in Louisiana (license number 311298) 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 1972533370.

Contact Information

Toni K Gross, MD, MPH
200 Henry Clay Ave,
New Orleans, LA 70118-5798
(504) 896-6667
Not Available

Map and Direction




Physician's Profile

Full NameToni K Gross
GenderFemale
SpecialityPediatric Medicine
Experience25 Years
Location200 Henry Clay Ave, New Orleans, Louisiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Toni K Gross attended and graduated from Eastern Virginia Medical School in 1999
  NPI Data:
  • NPI Number: 1972533370
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 09/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3476557943
  • Enrollment ID: I20190320000231

Medical Identifiers

Medical identifiers for Toni K Gross such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972533370NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD428893 (Pennsylvania)Secondary
208000000XPediatrics 42218 (Arizona)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine MD428893 (Pennsylvania)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine 311298 (Louisiana)Primary
2080P0204XPediatrics - Pediatric Emergency Medicine 42218 (Arizona)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Children's Hospital397140194426

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. Toni K Gross allows following entities to bill medicare on her behalf.
Entity NameChildren's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043230873
PECOS PAC ID: 3971401944
Enrollment ID: O20031229000715
Entity NameChildrens Hospital Medical Practice Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821090713
PECOS PAC ID: 5597944579
Enrollment ID: O20110124000073
Entity NameWjh Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417966193
PECOS PAC ID: 0941510986
Enrollment ID: O20151104000267

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. Toni K Gross 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
Toni K Gross, MD, MPH
200 Henry Clay Ave,
New Orleans, LA 70118-5798

Ph: (504) 896-6667
Toni K Gross, MD, MPH
200 Henry Clay Ave,
New Orleans, LA 70118-5798

Ph: (504) 896-6667

Reviews and Comments


Pediatrics Doctors in New Orleans, LA

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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.

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