Robert E Grondahl, MD in Avon, IN - Medicare Obstetrics/gynecology

Robert E Grondahl, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Avon, Indiana. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Mainehealth and his current practice location is 1111 Ronald Reagan Pkwy Ste 1400, Avon, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 217-2777.

Robert E Grondahl is licensed to practice in Indiana (license number 01059882) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922191816.

Contact Information

	Robert E Grondahl, MD
	1111 Ronald Reagan Pkwy Ste 1400, Avon, IN 46123-7085
	(317) 217-2777
	(317) 217-2775

Map and Direction

Physician's Profile

Full Name	Robert E Grondahl
Gender	Male
Speciality	Obstetrics/gynecology
Experience	31 Years
Location	1111 Ronald Reagan Pkwy Ste 1400, Avon, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Robert E Grondahl graduated from medical school in 1993

NPI Data:

NPI Number: 1922191816
Provider Enumeration Date: 10/02/2006
Last Update Date: 06/26/2019

Medicare PECOS Information:

PECOS PAC ID: 4587608401
Enrollment ID: I20190807001180

Medical Identifiers

Medical identifiers for Robert E Grondahl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922191816	NPI	-	NPPES
200525570	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	01059882 (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Waldo County General Hospital	Belfast, ME	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mainehealth	7517860588	2067

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. Robert E Grondahl allows following entities to bill medicare on his behalf.

Entity Name	Mainehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166

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. Robert E 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
Robert E Grondahl, MD 1111 Ronald Reagan Pkwy Ste C1400, Avon, IN 46123-7085 Ph: (317) 217-2777	Robert E Grondahl, MD 1111 Ronald Reagan Pkwy Ste 1400, Avon, IN 46123-7085 Ph: (317) 217-2777

Reviews and Comments

Obstetrics & Gynecology Doctors in Avon, IN

Travis A Richardson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy Ste 1400, Avon, IN 46123 Phone: 317-217-2777 Fax: 317-217-2775
Deanna M Fenoughty, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6911 E Us Highway 36, Avon, IN 46123 Phone: 317-272-8033 Fax: 317-272-8044
Julia Lauren Ruckman-long, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6911 E Us Highway 36, Avon, IN 46123 Phone: 317-272-8033 Fax: 317-272-8044
Anita K Mazdai, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6911 E Us Highway 36, Avon, IN 46123 Phone: 317-272-8033 Fax: 317-272-8044
John G Jarrett, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1111 Ronald Reagan Pkwy, Ste C-1100, Avon, IN 46123 Phone: 317-217-2525
Beatrice Soderholm, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6911 E Us Highway 36, Avon, IN 46123 Phone: 317-272-8033
Tiffany J Fan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1115 Ronald Reagan Pkwy Ste 266, Avon, IN 46123 Phone: 317-217-2500

Robert E Grondahl, MD - Medicare Obstetrics/gynecology in Avon, IN