Mrs Carrie C Grobe, MS,RD is a medicare enrolled "Dietitian, Registered" provider in Polo, Illinois. Her current practice location is
211 S Jackson Ave, Polo, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 222-4236.
Mrs Carrie C Grobe is licensed to practice in Illinois (license number 164002838) 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 1790957546.
Healthcare Provider's Profile
Full Name | Mrs Carrie C Grobe |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 211 S Jackson Ave, Polo, 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: 1790957546
- Provider Enumeration Date: 04/01/2008
- Last Update Date: 06/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 5597101659
- Enrollment ID: I20240312000024
Medical Identifiers
Medical identifiers for Mrs Carrie C Grobe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790957546 | NPI | - | NPPES |
164002838 | Other | IL | ILLINOIS LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
133V00000X | Dietitian, Registered | 164002838 (Illinois) | 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. Mrs Carrie C Grobe allows following entities to bill medicare on her behalf.
Provider Name | Health Loft Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1912461799 PECOS PAC ID: 3274866371 Enrollment ID: O20190604003077 |
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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. Mrs Carrie C Grobe 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 |
Mrs Carrie C Grobe, MS,RD 211 S Jackson Ave, Polo, IL 61064-1719 Ph: (815) 222-4236 | Mrs Carrie C Grobe, MS,RD 211 S Jackson Ave, Polo, IL 61064-1719 Ph: (815) 222-4236 |
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