Alexander Thomas Grover, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Pueblo, Colorado. His current practice location is
902 Lakeview Ave, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 557-5872.
Alexander Thomas Grover is licensed to practice in Colorado (license number TL.0008395) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275154668.
Physician's Profile
Full Name | Alexander Thomas Grover |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 902 Lakeview Ave, Pueblo, Colorado |
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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: 1275154668
- Provider Enumeration Date: 04/27/2020
- Last Update Date: 07/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 0143641225
- Enrollment ID: I20240103000429
Medical Identifiers
Medical identifiers for Alexander Thomas Grover such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275154668 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | TL.0008395 (Colorado) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | TL.0008395 (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. Alexander Thomas Grover 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 |
Alexander Thomas Grover, DO 902 Lakeview Ave, Pueblo, CO 81004-3597 Ph: (719) 557-5872 | Alexander Thomas Grover, DO 902 Lakeview Ave, Pueblo, CO 81004-3597 Ph: (719) 557-5872 |
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