Jacob Wesley Groseth, DPT is a
Physical Medicine & Rehabilitation based in Yulee, Florida. Jacob Wesley Groseth is licensed to practice in Florida (license number PT33205) and his current practice location is
463688 State Road 200 Ste 9, Yulee, Florida. He can be reached at his office (for appointments etc.) via phone at
(904) 261-4414.
NPI number for Jacob Wesley Groseth is 1881023539 and his current mailing address is 280 Exempla Cir, Lafayette, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881023539.
Provider's Profile
| Full Name | Jacob Wesley Groseth |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 463688 State Road 200 Ste 9, Yulee, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881023539
- Provider Enumeration Date: 11/04/2013
- Last Update Date: 12/14/2017
Medical Identifiers
Medical identifiers for Jacob Wesley Groseth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881023539 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | 145866 (Florida) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | PT33205 (Florida) | Primary |
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. Jacob Wesley Groseth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacob Wesley Groseth, DPT
280 Exempla Cir,
Lafayette, CO 80026-3370
Ph: (303) 338-4545 | Jacob Wesley Groseth, DPT
463688 State Road 200 Ste 9,
Yulee, FL 32097-0304
Ph: (904) 261-4414 |
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