| Dr Rex Daniel Grossman, MD | |
|
1011 W 2nd St, Bloomington, IN 47403-2216 | |
| (812) 334-1213 | |
| (812) 333-5039 |
| Full Name | Dr Rex Daniel Grossman |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 1011 W 2nd St, Bloomington, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306828322 | NPI | - | NPPES |
| 100358360A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | IN01027063A (Indiana) | Primary |
| Entity Name | Integ Health System Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215919105 PECOS PAC ID: 8921035676 Enrollment ID: O20050725000421 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rex Daniel Grossman, MD 1011 W 2nd St, Bloomington, IN 47403-2216 Ph: (812) 334-1213 | Dr Rex Daniel Grossman, MD 1011 W 2nd St, Bloomington, IN 47403-2216 Ph: (812) 334-1213 |
Dr. Joseph Michael Mackey, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1011 West Second Street, Bloomington, IN 47403 Phone: 812-334-1213 Fax: 812-333-5039 | |
Dr. Andrew Henderson Huck, MD, MS Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1011 W 2nd St, Bloomington, IN 47403 Phone: 812-334-1213 | |
Matthew Michael Fornefeld, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 481 S Landmark Ave, Bloomington, IN 47403 Phone: 812-331-8181 Fax: 812-331-8180 | |
Warren Jeffrey Chang, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1011 W 2nd St, Bloomington, IN 47403 Phone: 812-334-1213 Fax: 812-333-5039 |