Amber Grob, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Wheat Ridge, Colorado. Her current practice location is
4891 Independence St Ste 225, Wheat Ridge, Colorado. You can reach out to her office (for appointments etc.) via phone at
(720) 779-1998.
Amber Grob is licensed to practice in Nebraska (license number 112425) 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 1215431556.
Physician's Profile
Full Name | Amber Grob |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 4891 Independence St Ste 225, Wheat Ridge, Colorado |
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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: 1215431556
- Provider Enumeration Date: 03/21/2018
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 6709140957
- Enrollment ID: I20180516000670
Medical Identifiers
Medical identifiers for Amber Grob such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215431556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 112425 (Nebraska) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 112425 (Nebraska) | 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. Amber Grob allows following entities to bill medicare on her behalf.
Entity Name | Father Flanagans Boys Home |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295821825 PECOS PAC ID: 9638165400 Enrollment ID: O20040426000622 |
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Entity Name | Methodist Fremont Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235618216 PECOS PAC ID: 7911258520 Enrollment ID: O20181017000110 |
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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. Amber Grob 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 |
Amber Grob, APRN 3853 W 103rd Dr, Westminster, CO 80031-2453 Ph: (402) 779-9195 | Amber Grob, APRN 4891 Independence St Ste 225, Wheat Ridge, CO 80033-6849 Ph: (720) 779-1998 |
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