Amy Gross, MPH, RD, LDN, IBCLC is a medicare enrolled "Dietitian, Registered" provider in Lake Barrington, Illinois. Her current practice location is
28156 W Northpointe Pkwy Ste 225, Lake Barrington, Illinois. You can reach out to her office (for appointments etc.) via phone at
(224) 512-9800.
Amy Gross is licensed to practice in Illinois (license number 164.006525) 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 1376838565.
Healthcare Provider's Profile
Full Name | Amy Gross |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 28156 W Northpointe Pkwy Ste 225, Lake Barrington, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376838565
- Provider Enumeration Date: 06/15/2011
- Last Update Date: 05/03/2018
Medicare PECOS Information:
- PECOS PAC ID: 9335454354
- Enrollment ID: I20150819007809
Medical Identifiers
Medical identifiers for Amy Gross such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376838565 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 164.006525 (Illinois) | Primary |
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. Amy Gross 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 |
Amy Gross, MPH, RD, LDN, IBCLC 900 Rand Rd Ste 300, Des Plaines, IL 60016-2359 Ph: (847) 324-3976 | Amy Gross, MPH, RD, LDN, IBCLC 28156 W Northpointe Pkwy Ste 225, Lake Barrington, IL 60010-2346 Ph: (224) 512-9800 |
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