Dr Carla Andrea Grossoli, MD in Fargo, ND

Dr Carla Andrea Grossoli, MD is a medicare enrolled "Pediatrics" physician in Fargo, North Dakota. Her current practice location is 2701 13th Ave S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 234-3620.

Dr Carla Andrea Grossoli is licensed to practice in North Dakota (license number 14139) 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 1568778991.

Contact Information

	Dr Carla Andrea Grossoli, MD
	2701 13th Ave S, Fargo, ND 58103-3602
	(701) 234-3620
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Carla Andrea Grossoli
Gender	Female
Speciality	Pediatrics
Location	2701 13th Ave S, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568778991
Provider Enumeration Date: 08/23/2010
Last Update Date: 02/18/2025

Medicare PECOS Information:

PECOS PAC ID: 0244542801
Enrollment ID: I20160826001546

Medical Identifiers

Medical identifiers for Dr Carla Andrea Grossoli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568778991	NPI	-	NPPES
036132748	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	16721 (South Dakota)	Secondary
208000000X	Pediatrics	125058734 (Illinois)	Secondary
208000000X	Pediatrics	14139 (North Dakota)	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. Dr Carla Andrea Grossoli allows following entities to bill medicare on her behalf.

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

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 Carla Andrea Grossoli 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
Dr Carla Andrea Grossoli, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585	Dr Carla Andrea Grossoli, MD 2701 13th Ave S, Fargo, ND 58103-3602 Ph: (701) 234-3620

Reviews and Comments

Pediatrics Doctors in Fargo, ND

Lidia D Krasniewska, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 13th Ave S, Fargo, ND 58103 Phone: 701-234-3620 Fax: 701-234-8831
Muhammad Waqas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000
Waldemar G Storm, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2261 Fax: 701-234-7194
Brenda K Thurlow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2431 Fax: 701-234-3740
Dr. Samuel Odame Anim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 Fax: 701-234-2345
Dr. Kristina K Rauser-foltz, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Avenue South, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078
Rachel Katherine Heinze, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575

Dr Carla Andrea Grossoli, MD - Medicare Pediatrics in Fargo, ND