Dr Jonathan David Grossman, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Fresno, California. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Saint Agnes Medical Foundation and his current practice location is
45 E River Park Pl W, Suite 104, Fresno, California. You can reach out to his office (for appointments etc.) via phone at
(559) 459-7300.
Dr Jonathan David Grossman is licensed to practice in California (license number A98906) 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 1225242332.
Physician's Profile
| Full Name | Dr Jonathan David Grossman |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 21 Years |
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| Location | 45 E River Park Pl W, Fresno, California |
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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 Jonathan David Grossman graduated from medical school in 2003
NPI Data:
- NPI Number: 1225242332
- Provider Enumeration Date: 05/09/2007
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 4880780717
- Enrollment ID: I20081126000188
Medical Identifiers
Medical identifiers for Dr Jonathan David Grossman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225242332 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | A98906 (California) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | A98906 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Saint Agnes Medical Foundation | 7618946369 | 136 |
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 Jonathan David Grossman allows following entities to bill medicare on his behalf.
| Entity Name | Community Foundation Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811258510
PECOS PAC ID: 0345406294
Enrollment ID: O20120723000387 |
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| Entity Name | Saint Agnes Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558819482
PECOS PAC ID: 7618946369
Enrollment ID: O20170125002669 |
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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 Jonathan David Grossman 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 Jonathan David Grossman, MD
2625 E Divisadero St,
Fresno, CA 93721-1431
Ph: (559) 453-5200 | Dr Jonathan David Grossman, MD
45 E River Park Pl W, Suite 104,
Fresno, CA 93720-1562
Ph: (559) 459-7300 |
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