| Thomas J Groeger, MD | |
|
71 Charles St, Deadwood, SD 57732 | |
| (605) 717-6431 | |
| (605) 719-6471 |
| Full Name | Thomas J Groeger |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 71 Charles St, Deadwood, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942203419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2775 (South Dakota) | Primary |
| Entity Name | Monument Health Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588185268 PECOS PAC ID: 5991616427 Enrollment ID: O20031111000854 |
| Entity Name | Monument Health Network Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1174590806 PECOS PAC ID: 5991616427 Enrollment ID: O20061104000564 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Groeger, MD 353 Fairmont Blvd, Atten Mss, Rapid City, SD 57701-7375 Ph: Not Available | Thomas J Groeger, MD 71 Charles St, Deadwood, SD 57732 Ph: (605) 717-6431 |
Dr. Mark J Ptacek, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 71 Charles St, Deadwood, SD 57732 Phone: 605-717-6431 |
Dr. John Kenneth Tronnes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 71 Charles St, Deadwood, SD 57732 Phone: 605-717-6431 |