Mary Elizabeth Groth, APRN, PMHS - Medicare Nurse Practitioner in Old Lyme, CT

Mary Elizabeth Groth, APRN, PMHS is a medicare enrolled "Nurse Practitioner - Pediatrics" in Old Lyme, Connecticut. Her current practice location is 59 Lyme Street, Old Lyme, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 373-6208.

Mary Elizabeth Groth is licensed to practice in Connecticut (license number 001632) 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 1508849076.

Contact Information

Mary Elizabeth Groth, APRN, PMHS
59 Lyme Street,
Old Lyme, CT 06371
(860) 373-6208
(860) 434-1580

Map and Direction




Provider's Profile

Full NameMary Elizabeth Groth
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location59 Lyme Street, Old Lyme, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508849076
  • Provider Enumeration Date: 11/29/2005
  • Last Update Date: 12/12/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4688092299
  • Enrollment ID: I20200915000016

Medical Identifiers

Medical identifiers for Mary Elizabeth Groth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508849076NPI-NPPES
004200391MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 001632 (Connecticut)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. Mary Elizabeth Groth allows following entities to bill medicare on her behalf.
Entity NameProhealth Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720194053
PECOS PAC ID: 1355246950
Enrollment ID: O20031205000602

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. Mary Elizabeth Groth 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 AddressPractice Location Address
Mary Elizabeth Groth, APRN, PMHS
P.o. Box 589, 59 Lyme Street,
Old Lyme, CT 06371

Ph: (860) 373-6208
Mary Elizabeth Groth, APRN, PMHS
59 Lyme Street,
Old Lyme, CT 06371

Ph: (860) 373-6208

Reviews and Comments


Nurse Practitioner Nurses in Old Lyme, CT

Karen G Donovan,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 55 Hatchetts Hill Rd, Old Lyme, CT 06371
Phone: 800-370-3651    Fax: 877-515-7147
Gabriell Budoff, AGNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 55 Hatchetts Hill Rd, Old Lyme, CT 06371
Phone: 800-370-3651    Fax: 877-515-7147
Ms. Linda K Stanley, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 32 Neck Rd, Old Lyme, CT 06371
Phone: 860-227-8775    
Teresa Williams,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 55 Hatchetts Hill Rd, Old Lyme, CT 06371
Phone: 800-370-3651    Fax: 877-515-7147
Kathryn Ann Fallon, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8 Ascot Ln, Old Lyme, CT 06371
Phone: 860-434-1008    
Kristina Flores, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 55 Hatchetts Hill Rd, Old Lyme, CT 06371
Phone: 800-370-3651    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.