| Dr Hal Louis Grotke, MD | |
|
2350 Buhne St, Suite A, Eureka, CA 95501-3238 | |
| (707) 443-4593 | |
| (707) 269-7116 |
| Full Name | Dr Hal Louis Grotke |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2350 Buhne St, Eureka, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790841278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A78266 (California) | Primary |
| Entity Name | Open Door Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Hal Louis Grotke, MD 670 9th St Ste 203, Arcata, CA 95521-6249 Ph: (707) 826-8633 | Dr Hal Louis Grotke, MD 2350 Buhne St, Suite A, Eureka, CA 95501-3238 Ph: (707) 443-4593 |
Ryan Michael Mchenry, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2280 Harrison Ave Ste B, Eureka, CA 95501 Phone: 707-443-9371 Fax: 707-683-3089 | |
Cecilia Guerre, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2350 Buhne St Ste A, Eureka, CA 95501 Phone: 707-443-4593 | |
Dr. Diane Dickinson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4058 D St, Eureka, CA 95503 Phone: 707-599-1561 Fax: 707-825-1116 | |
Dr. John Christopher Nelson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3327 Timber Fall Ct, Eureka, CA 95503 Phone: 707-445-8443 Fax: 707-445-2209 | |
Dr. Timothy Matthew Mahanes, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-445-8121 | |
Timothy Mitchell Moore, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-445-8121 Fax: 707-269-7116 | |
Dr. Melissa Wilcox-falk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2350 Buhne St, Eureka, CA 95501 Phone: 707-443-4593 |