Robert J Grass

MD | Pediatrics | Male

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Complete Profile:

Robert J Grass basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Robert J Grass
Credential :	MD
Gender :	Male

Business Address:

Robert J Grass address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	420 E Division St Fond Du Lac, WI, 54935-4560 United States
Phone Number :	920-926-8615

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1689665093
NPI Entity Type :	Individual
First Enrolment Date :	03 Nov, 2005
Last Updated On :	20 Oct, 2020

Medicare Participation:

Robert J Grass participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	9436288958
Medicare Enrollment ID :	I20100521000337
Primary Specialty :	Internal Medicine
Medical School :	Medical College Of Wisconsin
Graduation Year :	1997
Accepts Medicare?	Yes. Robert J Grass accepts medicare insurance.

Group Practice Association:

Robert J Grass is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Robert J Grass is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Agnesian Healthcare Inc	1658289624	308	145 N Main St Fond Du Lac, WI - 549353423 Ph: 9209268722	Yes
Agnesian Healthcare Inc	1658289624	308	420 E Division St Fond Du Lac, WI - 549354560 Ph: 9209237400	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Robert J Grass are as mentioned. Primary taxonomy code for Robert J Grass, MD is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
207RA0000X	Internal Medicine Adolescent Medicine	No	43234	WI
208000000X	Pediatrics	Yes	43234	WI

Legacy Identifiers:

Other legacy medical identifiers of Robert J Grass such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
110221540	Other	WI	RAILROAD MEDICARE
34090300	MEDICAID	WI

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	420 E Division St Fond Du Lac, WI, 54935-4560 United States
Phone Number :	920-926-8340
Fax Number :	920-926-8370

Business Location:

Patients can refer following map for directions to Robert J Grass practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.