Mrs Katheryn E Grossman, PA-C in New London, CT - Medicare Physician Assistant

Mrs Katheryn E Grossman, PA-C is a medicare enrolled "Physician Assistant" in New London, Connecticut. Her current practice location is 365 Montauk Ave, New London, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 444-5104.

Mrs Katheryn E Grossman is licensed to practice in Connecticut (license number 002827) 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 1124370275.

Contact Information

	Mrs Katheryn E Grossman, PA-C
	365 Montauk Ave, New London, CT 06320-4700
	(860) 444-5104
	Not Available

Provider's Profile

Full Name	Mrs Katheryn E Grossman
Gender	Female
Speciality	Physician Assistant
Location	365 Montauk Ave, New London, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124370275
Provider Enumeration Date: 10/12/2012
Last Update Date: 10/12/2012

Medicare PECOS Information:

PECOS PAC ID: 5698926921
Enrollment ID: I20121115000113

Medical Identifiers

Medical identifiers for Mrs Katheryn E Grossman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124370275	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	002827 (Connecticut)	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. Mrs Katheryn E Grossman 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
Mrs Katheryn E Grossman, PA-C 11 Cape Ann Ct, New London, CT 06320-3701 Ph: (860) 912-0762	Mrs Katheryn E Grossman, PA-C 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 444-5104

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Physician Assistant Nurses in New London, CT

Mr. Bryan Keith Oditt, APA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15 Mohegan Ave, New London, CT 06320 Phone: 860-444-8207 Fax: 860-444-8413
Danielle J Robbins, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 351 N Frontage Rd, New London, CT 06320 Phone: 860-865-0934
Alexander James Ejzak, P.A. Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Nicole Allegra Geer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-271-4309
Abbey E. Cox, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Avenue, New London, CT 06320 Phone: 860-442-0711
Jenine Decaprio Gesino, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711

Mrs Katheryn E Grossman, PA-C - Medicare Physician Assistant in New London, CT