Kane Daly Gronback, APRN is a medicare enrolled "Nurse Practitioner - Family" in Catalina, Arizona. His current practice location is
61087 E Sparkle Spur Pl, Catalina, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 395-7119.
Kane Daly Gronback is licensed to practice in Arizona (license number AP5035) 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 1356789226.
Provider's Profile
Full Name | Kane Daly Gronback |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 61087 E Sparkle Spur Pl, Catalina, Arizona |
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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: 1356789226
- Provider Enumeration Date: 06/12/2013
- Last Update Date: 06/12/2013
Medicare PECOS Information:
- PECOS PAC ID: 2264676758
- Enrollment ID: I20130924000402
Medical Identifiers
Medical identifiers for Kane Daly Gronback such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356789226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | AP5035 (Arizona) | 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. Kane Daly Gronback allows following entities to bill medicare on his behalf.
Entity Name | Nextcare Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043371826 PECOS PAC ID: 9537161260 Enrollment ID: O20070209000357 |
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Entity Name | Good Health Medical, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144764432 PECOS PAC ID: 3779680962 Enrollment ID: O20070523000237 |
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Entity Name | Community Intervention Associates Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518250620 PECOS PAC ID: 4880851971 Enrollment ID: O20120201000213 |
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Entity Name | Northwest Hbp Medical Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407353006 PECOS PAC ID: 8921356536 Enrollment ID: O20180730001756 |
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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. Kane Daly Gronback 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 |
Kane Daly Gronback, APRN 61087 E Sparkle Spur Pl, Catalina, AZ 85739-2507 Ph: (520) 395-7119 | Kane Daly Gronback, APRN 61087 E Sparkle Spur Pl, Catalina, AZ 85739-2507 Ph: (520) 395-7119 |
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