Dr Dawn M Groten, MD - Medicare Internal Medicine in Berkeley, CA

Dr Dawn M Groten, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Berkeley, California. Her current practice location is 1510 4th St, Suite 1, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (510) 525-8980.

Dr Dawn M Groten is licensed to practice in California (license number G54516) 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 1407880693.

Contact Information

Dr Dawn M Groten, MD
1510 4th St, Suite 1,
Berkeley, CA 94710-1717
(510) 525-8980
(510) 525-8982

Map and Direction




Physician's Profile

Full NameDr Dawn M Groten
GenderFemale
SpecialityInternal Medicine - Geriatric Medicine
Location1510 4th St, Berkeley, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407880693
  • Provider Enumeration Date: 07/11/2006
  • Last Update Date: 06/16/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8628088200
  • Enrollment ID: I20060426000721

Medical Identifiers

Medical identifiers for Dr Dawn M Groten such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407880693NPI-NPPES
00G545161MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine G54516 (California)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 Dawn M Groten allows following entities to bill medicare on her behalf.
Entity NameInpatient Consultants Of California Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831134253
PECOS PAC ID: 7618861501
Enrollment ID: O20040211000804
Entity NameQuantum Healthcare Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568490597
PECOS PAC ID: 5294647574
Enrollment ID: O20040924000422
Entity NameDepartment Of State Hospitals
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124078704
PECOS PAC ID: 9638174238
Enrollment ID: O20081031000305

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 Dawn M Groten 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 AddressPractice Location Address
Dr Dawn M Groten, MD
3212 Jefferson St # 196,
Napa, CA 94558-3436

Ph: (707) 255-8825
Dr Dawn M Groten, MD
1510 4th St, Suite 1,
Berkeley, CA 94710-1717

Ph: (510) 525-8980

Reviews and Comments


Internal Medicine Doctors in Berkeley, CA

Dr. Ellen C Morrissey, MD
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Phone: 510-841-0411    Fax: 510-845-5030
Gerald L. Meyers, M.D.
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Kavita S Patankar, MD
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Practice Location: 2450 Ashby Ave Rm 5505, Berkeley, CA 94705
Phone: 510-204-4444    Fax: 510-649-8287
Dr. John Edward Swartzberg, MD
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Practice Location: 570 University Hall, University Of California, Berkeley, Berkeley, CA 94720
Phone: 510-643-0499    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.