Dr Elmo Lowery Gruwell Jr, MD in Provo, UT - Medicare Emergency Medicine

Dr Elmo Lowery Gruwell Jr, MD is a medicare enrolled "Emergency Medicine" physician in Provo, Utah. His current practice location is 1300 E Center St, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 344-4400.

Dr Elmo Lowery Gruwell Jr is licensed to practice in Utah (license number 163768-1205) 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 1598972655.

Contact Information

	Dr Elmo Lowery Gruwell Jr, MD
	1300 E Center St, Provo, UT 84606-3554
	(801) 344-4400
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Elmo Lowery Gruwell Jr
Gender	Male
Speciality	Emergency Medicine
Location	1300 E Center St, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598972655
Provider Enumeration Date: 05/17/2007
Last Update Date: 07/25/2019

Medicare PECOS Information:

PECOS PAC ID: 6305816596
Enrollment ID: I20050623001059

Medical Identifiers

Medical identifiers for Dr Elmo Lowery Gruwell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598972655	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	163768-1205 (Utah)	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 Elmo Lowery Gruwell Jr allows following entities to bill medicare on his behalf.

Entity Name	State Of Utah
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811978620 PECOS PAC ID: 6800797333 Enrollment ID: O20040117000195

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 Elmo Lowery Gruwell Jr 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 Elmo Lowery Gruwell Jr, MD Po Box 270, Provo, UT 84603-0270 Ph: (801) 344-4400	Dr Elmo Lowery Gruwell Jr, MD 1300 E Center St, Provo, UT 84606-3554 Ph: (801) 344-4400

Reviews and Comments

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Dr Elmo Lowery Gruwell Jr, MD - Medicare Emergency Medicine in Provo, UT