Dr Thomas J Grube, MD is a medicare enrolled "Ophthalmology" physician in Mandan, North Dakota. His current practice location is
107 3rd Ave Nw, Mandan, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 751-2131.
Dr Thomas J Grube is licensed to practice in North Dakota (license number 9201) 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 1659328516.
Physician's Profile
| Full Name | Dr Thomas J Grube |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 107 3rd Ave Nw, Mandan, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1659328516
- Provider Enumeration Date: 05/27/2006
- Last Update Date: 08/18/2010
Medicare PECOS Information:
- PECOS PAC ID: 6002844511
- Enrollment ID: I20050727000097
Medical Identifiers
Medical identifiers for Dr Thomas J Grube such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659328516 | NPI | - | NPPES |
| 12035 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 9201 (North Dakota) | Primary |
| 208600000X | Surgery | 9201 (North Dakota) | Secondary |
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 Thomas J Grube 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 Thomas J Grube, MD
1514 Buccaneer Pl,
Bismarck, ND 58504-8982
Ph: (701) 250-6820 | Dr Thomas J Grube, MD
107 3rd Ave Nw,
Mandan, ND 58554-3129
Ph: (701) 751-2131 |
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