Keith Della Grotta, MD in Olney, MD - Medicare Emergency Medicine

Keith Della Grotta, MD is a medicare enrolled "Emergency Medicine" physician in Olney, Maryland. His current practice location is 18101 Prince Philip Drive, Emergency Department, Olney, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 774-8882.

Keith Della Grotta is licensed to practice in Maryland (license number D0100145) 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 1235505611.

Contact Information

	Keith Della Grotta, MD
	18101 Prince Philip Drive, Emergency Department, Olney, MD 20832
	(301) 774-8882
	Not Available

Map and Direction

Physician's Profile

Full Name	Keith Della Grotta
Gender	Male
Speciality	Emergency Medicine
Location	18101 Prince Philip Drive, Olney, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235505611
Provider Enumeration Date: 08/19/2015
Last Update Date: 07/02/2024

Medicare PECOS Information:

PECOS PAC ID: 9931452836
Enrollment ID: I20181023001562

Medical Identifiers

Medical identifiers for Keith Della Grotta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235505611	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	D0100145 (Maryland)	Primary
207P00000X	Emergency Medicine	A160993 (California)	Secondary

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. Keith Della Grotta allows following entities to bill medicare on his behalf.

Entity Name	The Emory Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

Entity Name	Emory Medical Care Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968

Entity Name	Emory Specialty Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447

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. Keith Della Grotta 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
Keith Della Grotta, MD 907 Westwood Blvd Unit 310, Los Angeles, CA 90024-2904 Ph: (310) 692-1626	Keith Della Grotta, MD 18101 Prince Philip Drive, Emergency Department, Olney, MD 20832 Ph: (301) 774-8882

Reviews and Comments

Emergency Medicine Doctors in Olney, MD

Jeremy H Graf, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18101 Prince Philip Dr, Olney, MD 20832 Phone: 301-774-8900 Fax: 301-570-8574
Kerri H Suissa, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 18101 Prince Philip Dr, Olney, MD 20832 Phone: 301-774-8900 Fax: 301-570-8574
Michael K Kerr, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18101 Prince Philip Dr, Montgomery General Hospital, Olney, MD 20832 Phone: 301-774-8900 Fax: 301-570-8574
Ellen L Smith, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 18101 Prince Philip Dr, Olney, MD 20832 Phone: 301-774-8900 Fax: 301-570-8574
Dr. Jeffrey Uribe, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18101 Prince Philip Dr, Olney, MD 20832 Phone: 301-774-8882
Robert F Larkin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18101 Prince Philip Drive, Montgomery General Hospital, Olney, MD 20832 Phone: 301-774-8900 Fax: 301-570-8574

Keith Della Grotta, MD - Medicare Emergency Medicine in Olney, MD