| Dr Russell A Degroote, MD | |
|
25 Jefferson Way Ste 101, Ketchikan, AK 99901-5953 | |
| (907) 247-9999 | |
| Not Available |
| Full Name | Dr Russell A Degroote |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 32 Years |
| Location | 25 Jefferson Way Ste 101, Ketchikan, Alaska |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689684771 | NPI | - | NPPES |
| 1657661 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 114055 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peacehealth Ketchikan Medical Center | Ketchikan, AK | Hospital |
| Mt Edgecumbe Hospital | Sitka, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Russell Degroote Md Pc | 7012926629 | 4 |
| Entity Name | Russell Degroote Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033278155 PECOS PAC ID: 7012926629 Enrollment ID: O20200403002768 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Russell A Degroote, MD Po Box 1099, Ward Cove, AK 99928-1099 Ph: (907) 247-9999 | Dr Russell A Degroote, MD 25 Jefferson Way Ste 101, Ketchikan, AK 99901-5953 Ph: (907) 247-9999 |
Dr. Shannon Bridget O'brien, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 404-321-9900 Fax: 907-228-8323 | |
John C Schwartz, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-8111 Fax: 907-228-8323 |