Joseph M Grondahl, MD in Vallejo, CA - Medicare Family Medicine

Joseph M Grondahl, MD is a medicare enrolled "Family Medicine" physician in Vallejo, California. His current practice location is 975 Sereno Dr, Vallejo, California. You can reach out to his office (for appointments etc.) via phone at (707) 651-1000.

Joseph M Grondahl is licensed to practice in California (license number A66118) 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 1073691887.

Contact Information

	Joseph M Grondahl, MD
	975 Sereno Dr, Vallejo, CA 94589-2441
	(707) 651-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Joseph M Grondahl
Gender	Male
Speciality	Family Medicine
Location	975 Sereno Dr, Vallejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073691887
Provider Enumeration Date: 11/01/2006
Last Update Date: 12/13/2021

Medicare PECOS Information:

PECOS PAC ID: 2961698675
Enrollment ID: I20101119001137

Medical Identifiers

Medical identifiers for Joseph M Grondahl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073691887	NPI	-	NPPES
00A661180	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A66118 (California)	Primary

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. Joseph M Grondahl allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Joseph M Grondahl 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
Joseph M Grondahl, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Joseph M Grondahl, MD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-1000

Reviews and Comments

Family Medicine Doctors in Vallejo, CA

Laurena Nelly Dongmo Fotsing, Family Medicine Medicare: Medicare Enrolled Practice Location: 365 Tuolumne St, Vallejo, CA 94590 Phone: 707-553-5509
Donn R. Erickson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Archana Krishnan, Family Medicine Medicare: Medicare Enrolled Practice Location: 800 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Saw Sein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr Ste 304, Vallejo, CA 94589 Phone: 707-643-6483 Fax: 707-643-3018
Dr. Gabriel Flaxman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1025
Yasmin Crespo-mejias, MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4801
Aaser Ali, Family Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000

Joseph M Grondahl, MD - Medicare Family Medicine in Vallejo, CA