| Martin G Degroot, PA-C | |
|
305 N Main St, Ennis, MT 59729-8001 | |
| (406) 682-6862 | |
| (406) 682-4756 |
| Full Name | Martin G Degroot |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 305 N Main St, Ennis, Montana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427304864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MED-PAC-LIC-77035 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Madison Valley Medical Center | Ennis, MT | Hospital |
| Bozeman Health Deaconess Regional Medical Center | Bozeman, MT | Hospital |
| Madison Valley Medical Center | Ennis, MT | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Madison Valley Hospital Inc | 7719890987 | 13 |
| Entity Name | Madison Valley Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740223882 PECOS PAC ID: 7719890987 Enrollment ID: O20031112000719 |
| Entity Name | Madison Valley Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1740223882 PECOS PAC ID: 7719890987 Enrollment ID: O20061104000672 |
| Mailing Address | Practice Location Address |
|---|---|
| Martin G Degroot, PA-C 305 N Main St, Ennis, MT 59729-8001 Ph: (406) 682-6682 | Martin G Degroot, PA-C 305 N Main St, Ennis, MT 59729-8001 Ph: (406) 682-6862 |
Cathy Berendts, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 305 N Main St, Ennis, MT 59729 Phone: 406-682-6862 |
Mr. Morgan L. Stearns, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 305 N. Main, Ennis, MT 59729 Phone: 406-682-6862 |