Dr Kevin Rene Grullon, MD - Medicare Pulmonary Disease in Royal Oak, MI

Dr Kevin Rene Grullon, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Royal Oak, Michigan. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Minnesota Lung Center Ltd, Northstar Sleep Center Llc and his current practice location is 3535 W 13 Mile Rd Ste 507, Royal Oak, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 551-0497.

Dr Kevin Rene Grullon is licensed to practice in Michigan (license number 4301082239) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295976645.

Contact Information

Dr Kevin Rene Grullon, MD
3535 W 13 Mile Rd Ste 507,
Royal Oak, MI 48073-6770
(248) 551-0497
Not Available



Physician's Profile

Full NameDr Kevin Rene Grullon
GenderMale
SpecialityPulmonary Disease
Experience24 Years
Location3535 W 13 Mile Rd Ste 507, Royal Oak, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kevin Rene Grullon graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1295976645
  • Provider Enumeration Date: 03/16/2009
  • Last Update Date: 12/19/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2163690967
  • Enrollment ID: I20140709001893

Medical Identifiers

Medical identifiers for Dr Kevin Rene Grullon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295976645NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 4301082239 (Michigan)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 4301082239 (Michigan)Primary
207RS0012XInternal Medicine - Sleep Medicine 4301082239 (Michigan)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Abbott Northwestern HospitalMinneapolis, MNHospital
Fairview Southdale HospitalEdina, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minnesota Lung Center Ltd286039152112
Northstar Sleep Center Llc73151040645

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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. Dr Kevin Rene Grullon allows following entities to bill medicare on his behalf.
Entity NameMinnesota Lung Center Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184655813
PECOS PAC ID: 2860391521
Enrollment ID: O20040102000187

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Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460

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Entity NameNorthstar Sleep Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124315700
PECOS PAC ID: 7315104064
Enrollment ID: O20120207000849

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› Verified 9 days ago

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. Dr Kevin Rene Grullon 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
Dr Kevin Rene Grullon, MD
3601 W 13 Mile 400 Fsc-pcs,
Royal Oak, MI 48073-6769

Ph: (248) 423-2481
Dr Kevin Rene Grullon, MD
3535 W 13 Mile Rd Ste 507,
Royal Oak, MI 48073-6770

Ph: (248) 551-0497

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Read more News

› Verified 9 days ago


Internal Medicine Doctors in Royal Oak, MI

Nicole Marijanovich, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 248-898-7999    Fax: 248-898-0580
Vinayata Manuballa Kareti, D.O.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 661-948-0803    
Filip Ionescu, MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 248-551-3000    
Christopher Carpenter,
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3535 W 13 Mile Rd Ste 605, Royal Oak, MI 48073
Phone: 248-551-0495    
Dr. Matthew Burns Cotant, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3577 W 13 Mile Rd, Suite 404, Royal Oak, MI 48073
Phone: 248-551-6900    Fax: 248-551-6909
Geoffrey Prysak, MD, MPH
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 248-898-7999    
Taylor Schoenheit,
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 248-898-6509    

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