| Mary Jo Groves, MD | |
|
1117 Spring St, Friday Harbor, WA 98250 | |
| (360) 378-2141 | |
| (360) 378-1785 |
| Full Name | Mary Jo Groves |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1117 Spring St, Friday Harbor, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730124371 | NPI | - | NPPES |
| 0466473 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G156583 (California) | Secondary |
| 207Q00000X | Family Medicine | 35.046580 (Ohio) | Primary |
| Entity Name | Hospitalist Medicine Physicians Of Richland County, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639119027 PECOS PAC ID: 4284538430 Enrollment ID: O20031120000557 |
| Entity Name | Apogee Medical Group Ohio Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477500999 PECOS PAC ID: 8224082292 Enrollment ID: O20050311000733 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Jo Groves, MD 2665 Derr Road, Springfield, OH 45503-3774 Ph: () - | Mary Jo Groves, MD 1117 Spring St, Friday Harbor, WA 98250 Ph: (360) 378-2141 |
Rachel A. Bishop, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1117 Spring St, Friday Harbor, WA 98250 Phone: 360-378-2141 Fax: 360-378-3655 | |
Jesse Lee Nye, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1117 Spring St, Friday Harbor, WA 98250 Phone: 360-378-2141 Fax: 360-378-1785 | |
Dr. Stacie Marie Vilendrer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1117 Spring St, Friday Harbor, WA 98250 Phone: 360-378-2141 Fax: 360-378-1785 | |
Dr. John Burk Gossom, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 689 Airport Center Dr, Ste B, Friday Harbor, WA 98250 Phone: 360-378-1338 Fax: 360-378-1830 | |
Lauren Elisabeth Olsen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1117 Spring St, Friday Harbor, WA 98250 Phone: 360-378-2141 Fax: 360-378-1785 | |
Dr. Ruth Kay Fothergill, M.D, Family Medicine Medicare: Medicare Enrolled Practice Location: 1117 Spring St, Friday Harbor, WA 98250 Phone: 360-378-2141 Fax: 360-378-1785 | |
Lauren Kreiger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1117 Spring St, Friday Harbor, WA 98250 Phone: 360-378-2141 Fax: 360-378-1785 |