Karla Ann Groah, is a medicare enrolled "Nurse Practitioner - Family" in Mount Perry, Ohio. Her current practice location is
10825 Township Road 49, Mount Perry, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 221-6550.
Karla Ann Groah is licensed to practice in Ohio (license number 0034900) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821893033.
Provider's Profile
| Full Name | Karla Ann Groah |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 10825 Township Road 49, Mount Perry, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821893033
- Provider Enumeration Date: 02/13/2025
- Last Update Date: 02/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 0941723654
- Enrollment ID: I20250402002773
Medical Identifiers
Medical identifiers for Karla Ann Groah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821893033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 0034900 (Ohio) | 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. Karla Ann Groah allows following entities to bill medicare on her behalf.
| Entity Name | Country Drive Inn Medical Practice |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003524430
PECOS PAC ID: 8224493168
Enrollment ID: O20230428002017 |
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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. Karla Ann Groah 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 |
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Karla Ann Groah,
533 Groah Rd,
Stockport, OH 43787-9373
Ph: (740) 624-6792 | Karla Ann Groah,
10825 Township Road 49,
Mount Perry, OH 43760-9779
Ph: (740) 221-6550 |
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