Mark M Gramblicka, DC is a medicare enrolled "Chiropractor" provider in St Francis, Wisconsin. He went to National College Of Chiropractic and graduated in 2000 and has 24 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Lakeshore Medical Clinic Llc and his current practice location is
2000 E. Layton Ave, St Francis, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 744-6589.
Mark M Gramblicka is licensed to practice in Wisconsin (license number 4333) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093896698.
Healthcare Provider's Profile
| Full Name | Mark M Gramblicka |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 24 Years |
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| Location | 2000 E. Layton Ave, St Francis, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mark M Gramblicka attended and graduated from National College Of Chiropractic in 2000
NPI Data:
- NPI Number: 1093896698
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 01/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 8022196492
- Enrollment ID: I20080425000083
Medical Identifiers
Medical identifiers for Mark M Gramblicka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093896698 | NPI | - | NPPES |
| 100004678 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111NR0400X | Chiropractor - Rehabilitation | 038009183 (Illinois) | Secondary |
| 111N00000X | Chiropractor | 4333 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lakeshore Medical Clinic Llc | 7719890730 | 293 |
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. Mark M Gramblicka allows following entities to bill medicare on his behalf.
| Provider Name | Lakeshore Medical Clinic Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481 |
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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. Mark M Gramblicka 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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Mark M Gramblicka, DC
3301 W Forest Home Ave,
Milwaukee, WI 53215-2843
Ph: (414) 389-2233 | Mark M Gramblicka, DC
2000 E. Layton Ave,
St Francis, WI 53235-6053
Ph: (414) 744-6589 |
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