| Ms Melanie Lynn Groch, DO | |
|
140 W 6th St, Suite 210, Oswego, NY 13126-2525 | |
| (315) 349-5828 | |
| (315) 349-5829 |
| Full Name | Ms Melanie Lynn Groch |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Experience | 26 Years |
| Location | 140 W 6th St, Oswego, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619979374 | NPI | - | NPPES |
| 35512 | Other | MI | HPM |
| P002360599 | Other | OH | RRMC |
| 7264703 | Other | OH | AETNA |
| 4784400 | Medicaid | MI | |
| 000000370241 | Other | OH | ANTHEM |
| 25-48240 | Other | OH | UHC |
| 2595900 | Medicaid | OH |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oswego Hospital | Oswego, NY | Hospital |
| Auburn Community Hospital | Auburn, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Care Pc | 9032367453 | 76 |
| Auburn Memorial Medical Services Pc | 6406931385 | 120 |
| Entity Name | Physician Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073868113 PECOS PAC ID: 9032367453 Enrollment ID: O20120910000593 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Melanie Lynn Groch, DO 110 W 6th St, Oswego, NY 13126-2507 Ph: (315) 349-5511 | Ms Melanie Lynn Groch, DO 140 W 6th St, Suite 210, Oswego, NY 13126-2525 Ph: (315) 349-5828 |
Dr. David William Granoff, DO Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 140 W 6th St, Suite 180, Oswego, NY 13126 Phone: 315-343-5900 Fax: 315-343-5976 | |
Jon Robert Vanderweele, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 140 W 6th St, Oswego, NY 13126 Phone: 315-349-5826 Fax: 315-349-5829 | |
Mr. Nicholas Richard Groch, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 140 W 6th St, Suite 210, Oswego, NY 13126 Phone: 315-349-5828 Fax: 315-349-5829 |