Margaret Gross, MD - Medicare Pediatrics in Groton, CT

Margaret Gross, MD is a medicare enrolled "Pediatrics" physician in Groton, Connecticut. Her current practice location is 1 Wahoo Ave, Groton, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 694-7524.

Margaret Gross is licensed to practice in Connecticut (license number 042172) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467552588.

Contact Information

Margaret Gross, MD
1 Wahoo Ave,
Groton, CT 06349-2324
(860) 694-7524
(860) 694-1209

Map and Direction




Physician's Profile

Full NameMargaret Gross
GenderFemale
SpecialityPediatrics
Location1 Wahoo Ave, Groton, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467552588
  • Provider Enumeration Date: 09/25/2006
  • Last Update Date: 03/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8224254602
  • Enrollment ID: I20140721000676

Medical Identifiers

Medical identifiers for Margaret Gross such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467552588NPI-NPPES
06-1556110OtherCIGNA
06-1556110OtherDIVERSIFIED
3512777OtherAETNA
2V5194OtherHEALTH NET
P3304933OtherOXFORD
001421726MedicaidCT
001421726-00OtherBLUE CARE FAMILY PLAN
010042172CT01OtherBLUE CROSS
06-1556110OtherHEALTH CONNECTICUT
06-1556110OtherUNITED HEALTHCARE
06-1556110OtherPIONEER
06-1556110OtherNORTHEAST DIRECT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 042172 (Connecticut)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. Margaret Gross allows following entities to bill medicare on her behalf.
Entity NameProhealth Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720194053
PECOS PAC ID: 1355246950
Enrollment ID: O20031205000602

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. Margaret Gross 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 AddressPractice Location Address
Margaret Gross, MD
1 Wahoo Ave,
Groton, CT 06349-2324

Ph: (860) 694-7524
Margaret Gross, MD
1 Wahoo Ave,
Groton, CT 06349-2324

Ph: (860) 694-7524

Reviews and Comments


Pediatrics Doctors in Groton, CT

Michael E Blefeld, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 495 Gold Star Hwy, Suite 120, Groton, CT 06340
Phone: 860-449-8882    Fax: 860-449-9195
Amy Reynolds, CRNP
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1 Wahoo Ave, Groton, CT 06349
Phone: 860-694-2493    
Anna-marie L Melchreit, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 495 Gold Star Hwy, Suite 120, Groton, CT 06340
Phone: 860-449-8882    Fax: 869-449-9195
Carol J Fiftal, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 495 Gold Star Hwy, Suite 120, Groton, CT 06340
Phone: 860-449-8882    Fax: 860-449-9195
Dr. James Joseph Fritz, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: Rt 12 Bldg 449, Attn Professional Affairs Naval Ambulatory Care Center, Groton, CT 06349
Phone: 860-694-2377    Fax: 860-694-2590
Mary A Glenn, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 495 Gold Star Hwy, Suite 120, Groton, CT 06340
Phone: 860-449-8882    Fax: 860-449-9195

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.