William Charles Gronberg, PA-C is a medicare enrolled "Physician Assistant - Surgical" physician in Phoenix, Arizona. His current practice location is
222 W Thomas Rd Ste 307, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at
(602) 406-8811.
William Charles Gronberg is licensed to practice in Arizona (license number 4914) 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 1790930527.
Physician's Profile
Full Name | William Charles Gronberg |
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Gender | Male |
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Speciality | Physician Assistant - Surgical |
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Location | 222 W Thomas Rd Ste 307, Phoenix, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790930527
- Provider Enumeration Date: 11/20/2008
- Last Update Date: 07/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 2769545573
- Enrollment ID: I20110907001232
Medical Identifiers
Medical identifiers for William Charles Gronberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790930527 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 4914 (Arizona) | Secondary |
363AS0400X | Physician Assistant - Surgical | 4914 (Arizona) | 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. William Charles Gronberg 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 |
William Charles Gronberg, PA-C 222 W Thomas Rd Ste 307, Phoenix, AZ 85013-4422 Ph: (602) 406-8811 | William Charles Gronberg, PA-C 222 W Thomas Rd Ste 307, Phoenix, AZ 85013-4422 Ph: (602) 406-8811 |
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