Sandra Grzybowski, LICSW in Providence, RI - Medicare Social Worker Provider

Sandra Grzybowski, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Providence, Rhode Island. Her current practice location is 18 Spruce St Apt 204, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (563) 468-9314.

Sandra Grzybowski is licensed to practice in Massachusetts (license number 125542) 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 1902528029.

Contact Information

	Sandra Grzybowski, LICSW
	18 Spruce St Apt 204, Providence, RI 02903-1911
	(563) 468-9314
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sandra Grzybowski
Gender	Female
Speciality	Social Worker - Clinical
Location	18 Spruce St Apt 204, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902528029
Provider Enumeration Date: 09/15/2022
Last Update Date: 09/15/2022

Medicare PECOS Information:

PECOS PAC ID: 9739535162
Enrollment ID: I20231020003009

Medical Identifiers

Medical identifiers for Sandra Grzybowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902528029	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	125542 (Massachusetts)	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. Sandra Grzybowski allows following entities to bill medicare on her behalf.

Entity Name	Rushford Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275541005 PECOS PAC ID: 1153227756 Enrollment ID: O20040223000535

Entity Name	Ricbt, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780776476 PECOS PAC ID: 7517854995 Enrollment ID: O20220224000876

Entity Name	Optum Behavioral Care Of Connecticut Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649051715 PECOS PAC ID: 9436502879 Enrollment ID: O20240311002331

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. Sandra Grzybowski 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
Sandra Grzybowski, LICSW 18 Spruce St Apt 204, Providence, RI 02903-1911 Ph: (563) 468-9314	Sandra Grzybowski, LICSW 18 Spruce St Apt 204, Providence, RI 02903-1911 Ph: (563) 468-9314

Reviews and Comments

Social Worker in Providence, RI

Kelly Baraf, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 49 Pavilion Ave, Suite 105, Providence, RI 02905 Phone: 401-490-8900 Fax: 401-490-2619
Margarita Caballero-snyder, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Hope St, Providence, RI 02906 Phone: 401-331-1350 Fax: 401-277-3366
Amanda Baldaro, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 593 Eddy St., Providence, RI 02903 Phone: 401-444-4179
Emily Myer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 434 Mount Pleasant Ave, Providence, RI 02908 Phone: 888-612-7242 Fax: 401-444-0421
Robert B Hagberg, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 153 Summer St, Providence, RI 02903 Phone: 401-276-4300 Fax: 041-331-3285
Ms. Christina Stang, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 Hollywood Rd, Providence, RI 02909 Phone: 860-966-3171
Elizabeth Sevin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-723-7100

Sandra Grzybowski, LICSW - Medicare Clinical Social Worker in Providence, RI