Terry R Degroot, MD is a medicare enrolled "Otolaryngology - Plastic Surgery Within The Head & Neck" physician in Grand Haven, Michigan. His current practice location is
1617 Sheldon Rd, Grand Haven, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 502-1997.
Terry R Degroot is licensed to practice in Michigan (license number 4301038705) 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 1366462350.
Physician's Profile
| Full Name | Terry R Degroot |
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| Gender | Male |
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| Speciality | Otolaryngology - Plastic Surgery Within The Head & Neck |
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| Location | 1617 Sheldon Rd, Grand Haven, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366462350
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 12/13/2013
Medicare PECOS Information:
- PECOS PAC ID: 8123059367
- Enrollment ID: I20050830000107
Medical Identifiers
Medical identifiers for Terry R Degroot such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366462350 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 4301038705 (Michigan) | 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. Terry R Degroot allows following entities to bill medicare on his behalf.
| Entity Name | Tr Degroot Md Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174885941 PECOS PAC ID: 2860627023 Enrollment ID: O20131024001878 |
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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. Terry R Degroot 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 |
Terry R Degroot, MD 1617 Sheldon Rd, Grand Haven, MI 49417-2543 Ph: (616) 502-1997 | Terry R Degroot, MD 1617 Sheldon Rd, Grand Haven, MI 49417-2543 Ph: (616) 502-1997 |
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