Anzhelika Grzesiak, APRN, FNP-C is a medicare enrolled "Nurse Practitioner" physician in Normal, Illinois. Her current practice location is
1302 Franklin Ave Ste 3600, Normal, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 268-6770.
Anzhelika Grzesiak is licensed to practice in Illinois (license number 209.029400) 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 1790543932.
Physician's Profile
Full Name | Anzhelika Grzesiak |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 1302 Franklin Ave Ste 3600, Normal, 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: 1790543932
- Provider Enumeration Date: 03/12/2024
- Last Update Date: 03/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264870229
- Enrollment ID: I20240410000192
Medical Identifiers
Medical identifiers for Anzhelika Grzesiak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790543932 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RG0100X | Internal Medicine - Gastroenterology | 209.029400 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209.029400 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209.029400 (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. Anzhelika Grzesiak allows following entities to bill medicare on her behalf.
Entity Name | Carle West Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
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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. Anzhelika Grzesiak 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 |
Anzhelika Grzesiak, APRN, FNP-C 1336 Berkley Rd, Normal, IL 61761-9550 Ph: (309) 750-1366 | Anzhelika Grzesiak, APRN, FNP-C 1302 Franklin Ave Ste 3600, Normal, IL 61761-3551 Ph: (309) 268-6770 |
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