Dr David William Groth, MD is a medicare enrolled "Dermatology" physician in Richfield, Minnesota. He went to University Of Minnesota Medical School and graduated in 1983 and has 43 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice United Skin Specialists Ltd and his current practice location is
6425 Nicollet Ave, Suite # 202, Richfield, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(612) 869-2086.
Dr David William Groth is licensed to practice in Minnesota (license number 29749) 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 1629000534.
Physician's Profile
| Full Name | Dr David William Groth |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 43 Years |
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| Location | 6425 Nicollet Ave, Richfield, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr David William Groth attended and graduated from University Of Minnesota Medical School in 1983
NPI Data:
- NPI Number: 1629000534
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 07/23/2012
Medicare PECOS Information:
- PECOS PAC ID: 8022151919
- Enrollment ID: I20101011000030
Medical Identifiers
Medical identifiers for Dr David William Groth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629000534 | NPI | - | NPPES |
| 100187 | Other | MN | UCARE |
| 20931 | Other | MN | ARAZ |
| HP13424 | Other | MN | HEALTHPARTNERS |
| 03-00033 | Other | MN | MEDICA CHOICE & PRIMARY |
| 09Q99GR | Other | MN | BCBS |
| 0492002 | Other | MN | PREFERRED ONE |
| 722390100 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 29749 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| United Skin Specialists Ltd | 0446558993 | 15 |
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 David William Groth allows following entities to bill medicare on his behalf.
| Entity Name | Fairview Express Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548 |
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| Entity Name | United Skin Specialists Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861861759
PECOS PAC ID: 0446558993
Enrollment ID: O20160415001552 |
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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 David William Groth 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 |
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Dr David William Groth, MD
6425 Nicollet Ave, Suite # 202,
Richfield, MN 55423-1675
Ph: (612) 869-2086 | Dr David William Groth, MD
6425 Nicollet Ave, Suite # 202,
Richfield, MN 55423-1675
Ph: (612) 869-2086 |
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