Elizabeth Gross, PT is a medicare enrolled "Physical Therapist" provider in Pawcatuck, Connecticut. Her current practice location is
158 South Broad Street, Pawcatuck, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 599-0819.
Elizabeth Gross is licensed to practice in Connecticut (license number 004925) 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 1104881812.
Healthcare Provider's Profile
Full Name | Elizabeth Gross |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 158 South Broad Street, Pawcatuck, Connecticut |
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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: 1104881812
- Provider Enumeration Date: 04/18/2006
- Last Update Date: 02/21/2008
Medicare PECOS Information:
- PECOS PAC ID: 3577649458
- Enrollment ID: I20230815001154
Medical Identifiers
Medical identifiers for Elizabeth Gross such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104881812 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 004925 (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. Elizabeth Gross allows following entities to bill medicare on her behalf.
Provider Name | Dynamic Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1861682296 PECOS PAC ID: 9436233715 Enrollment ID: O20230906002550 |
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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. Elizabeth 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 Address | Practice Location Address |
Elizabeth Gross, PT 158 South Broad Street, Pawcatuck, CT 06379-1925 Ph: (860) 599-0819 | Elizabeth Gross, PT 158 South Broad Street, Pawcatuck, CT 06379-1925 Ph: (860) 599-0819 |
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