Mary Elizabeth Groth, APRN, PMHS in Old Lyme, CT

Mary Elizabeth Groth, APRN, PMHS is a medicare enrolled "Nurse Practitioner - Pediatrics" in Old Lyme, Connecticut. Her current practice location is 59 Lyme Street, Old Lyme, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 373-6208.

Mary Elizabeth Groth is licensed to practice in Connecticut (license number 001632) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508849076.

Contact Information

	Mary Elizabeth Groth, APRN, PMHS
	59 Lyme Street, Old Lyme, CT 06371
	(860) 373-6208
	(860) 434-1580

Map and Direction

Provider's Profile

Full Name	Mary Elizabeth Groth
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	59 Lyme Street, Old Lyme, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508849076
Provider Enumeration Date: 11/29/2005
Last Update Date: 12/12/2017

Medicare PECOS Information:

PECOS PAC ID: 4688092299
Enrollment ID: I20200915000016

Medical Identifiers

Medical identifiers for Mary Elizabeth Groth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508849076	NPI	-	NPPES
004200391	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	001632 (Connecticut)	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. Mary Elizabeth Groth allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602

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. Mary Elizabeth Groth 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
Mary Elizabeth Groth, APRN, PMHS P.o. Box 589, 59 Lyme Street, Old Lyme, CT 06371 Ph: (860) 373-6208	Mary Elizabeth Groth, APRN, PMHS 59 Lyme Street, Old Lyme, CT 06371 Ph: (860) 373-6208

Reviews and Comments

Nurse Practitioner Nurses in Old Lyme, CT

Karen G Donovan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Hatchetts Hill Rd, Old Lyme, CT 06371 Phone: 800-370-3651 Fax: 877-515-7147
Amy Beth Weldon-beardslee, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19 Halls Rd, Old Lyme, CT 06371 Phone: 860-434-8300 Fax: 860-865-2388
Gabriell Budoff, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Hatchetts Hill Rd, Old Lyme, CT 06371 Phone: 800-370-3651 Fax: 877-515-7147
Ms. Linda K Stanley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 32 Neck Rd, Old Lyme, CT 06371 Phone: 860-227-8775
Teresa Williams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Hatchetts Hill Rd, Old Lyme, CT 06371 Phone: 800-370-3651 Fax: 877-515-7147
Kathryn Ann Fallon, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8 Ascot Ln, Old Lyme, CT 06371 Phone: 860-434-1008
Kristina Flores, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Hatchetts Hill Rd, Old Lyme, CT 06371 Phone: 800-370-3651

Mary Elizabeth Groth, APRN, PMHS - Medicare Nurse Practitioner in Old Lyme, CT