| Andrew Grollman, MD | |
|
610 Broadway Blvd Ne, Albuquerque, NM 87102-2372 | |
| (505) 242-3991 | |
| (505) 998-1660 |
| Full Name | Andrew Grollman |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 21 Years |
| Location | 610 Broadway Blvd Ne, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811157100 | NPI | - | NPPES |
| MD2010-0319 | Other | NM | NM MEDICAL BOARD LICENSE |
| 45558230 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 25MA08386700 (New Jersey) | Secondary |
| 208800000X | Urology | MD2010-0319 (New Mexico) | Primary |
| 174400000X | Specialist | MD2010-0319 (New Mexico) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lovelace Women's Hospital | Albuquerque, NM | Hospital |
| Lovelace Medical Center | Albuquerque, NM | Hospital |
| Lovelace Westside Hospital | Albuquerque, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Medical Associates, Llc | 7214831114 | 298 |
| Entity Name | Southwest Medical Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164491072 PECOS PAC ID: 7214831114 Enrollment ID: O20031121000724 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Grollman, MD 610 Broadway Blvd Ne, Albuquerque, NM 87102-2372 Ph: (505) 242-3991 | Andrew Grollman, MD 610 Broadway Blvd Ne, Albuquerque, NM 87102-2372 Ph: (505) 242-3991 |
Laura Anne Mihalko, M.D. Urology Medicare: Medicare Enrolled Practice Location: Msc 10 5610, University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-5505 Fax: 505-272-6399 | |
Dr. Matthew D Katz, MD Urology Medicare: Medicare Enrolled Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-925-7759 Fax: 505-272-4156 | |
Dr. Frances Maria Alba, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1 University Of New Mexico, Dept. Of Surgery. Msc10-5610, Albuquerque, NM 87131 Phone: 505-272-5505 | |
Donald Lee Kettwich, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 711 Encino Pl Ne, Suite E, Albuquerque, NM 87102 Phone: 505-245-5737 Fax: 505-245-5739 | |
Dr. Peter Abraham Headley, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 610 Broadway Blvd Ne, Albuquerque, NM 87102 Phone: 505-242-3991 Fax: 505-243-8405 | |
Dr. Damara Lee Kaplan, PHD, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4901 Lang Ave Ne, Albuquerque, NM 87109 Phone: 505-842-8171 Fax: 505-246-0684 | |
Jessica Megan Chen Ming, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1004 Columbia Dr Ne, Albuquerque, NM 87106 Phone: 617-645-0313 |