Ms Lorraine Gwen Grube, PA-C is a
Physician Assistant - Medical based in Cripple Creek, Colorado. Ms Lorraine Gwen Grube is licensed to practice in Colorado (license number 1516) and her current practice location is
412 North C Street, Cripple Creek, Colorado. She can be reached at her office (for appointments etc.) via phone at
(719) 200-9668.
NPI number for Ms Lorraine Gwen Grube is 1184614828 and her current mailing address is 3205 N Academy Blvd, Suite 130, Colorado Springs, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184614828.
Provider's Profile
Full Name | Ms Lorraine Gwen Grube |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 412 North C Street, Cripple Creek, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184614828
- Provider Enumeration Date: 10/25/2005
- Last Update Date: 12/08/2014
Medical Identifiers
Medical identifiers for Ms Lorraine Gwen Grube such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184614828 | NPI | - | NPPES |
44985738 | Medicaid | CO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 1516 (Colorado) | 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. Ms Lorraine Gwen Grube is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Lorraine Gwen Grube, PA-C 3205 N Academy Blvd, Suite 130, Colorado Springs, CO 80917-5101 Ph: (719) 632-5700 | Ms Lorraine Gwen Grube, PA-C 412 North C Street, Cripple Creek, CO 80813 Ph: (719) 200-9668 |
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