Dr Stephanie Wise Grosvenor, DO in Fort Wayne, IN - Medicare Obstetrics & Gynecology

Dr Stephanie Wise Grosvenor, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Fort Wayne, Indiana. Her current practice location is 10228 Dupont Circle Dr E Ste 100, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 222-7401.

Dr Stephanie Wise Grosvenor is licensed to practice in Indiana (license number 02006694A) 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 1912193640.

Contact Information

	Dr Stephanie Wise Grosvenor, DO
	10228 Dupont Circle Dr E Ste 100, Fort Wayne, IN 46825-1611
	(260) 222-7401
	(260) 209-5956

Map and Direction

Physician's Profile

Full Name	Dr Stephanie Wise Grosvenor
Gender	Female
Speciality	Obstetrics & Gynecology
Location	10228 Dupont Circle Dr E Ste 100, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912193640
Provider Enumeration Date: 09/17/2007
Last Update Date: 02/01/2023

Medicare PECOS Information:

PECOS PAC ID: 7517139587
Enrollment ID: I20111017000725

Medical Identifiers

Medical identifiers for Dr Stephanie Wise Grosvenor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912193640	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	1132870 (Michigan)	Secondary
207V00000X	Obstetrics & Gynecology	02006694A (Indiana)	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. Dr Stephanie Wise Grosvenor allows following entities to bill medicare on her behalf.

Entity Name	Ob-gyn Assoc Of Marquette Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942394861 PECOS PAC ID: 4789650243 Enrollment ID: O20040907000346

Entity Name	Upper Great Lakes Family Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700103777 PECOS PAC ID: 1951432384 Enrollment ID: O20100629000853

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. Dr Stephanie Wise Grosvenor 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
Dr Stephanie Wise Grosvenor, DO Po Box 772437, Detroit, MI 48277-2437 Ph: (317) 575-7304	Dr Stephanie Wise Grosvenor, DO 10228 Dupont Circle Dr E Ste 100, Fort Wayne, IN 46825-1611 Ph: (260) 222-7401

Reviews and Comments

Obstetrics & Gynecology Doctors in Fort Wayne, IN

Danielle Berdahl, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11123 Parkview Plaza Dr Ste 204, Fort Wayne, IN 46845 Phone: 260-266-8380 Fax: 260-266-8385
Gita S Singh, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825 Phone: 260-436-6667 Fax: 260-469-7437
Anya V Menzies, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-266-8941
Dr. Christopher B Stroud, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10228 Dupont Circle Dr E, Suite 100, Fort Wayne, IN 46825 Phone: 260-222-7401 Fax: 260-209-5956
Dr. Scott T Goodrich, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2514 E Dupont Rd Ste 100, Fort Wayne, IN 46825 Phone: 260-484-8830 Fax: 260-483-1911
Anusha Valluru, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-425-6650 Fax: 260-425-6649
Mr. Steven J Tanner, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845 Phone: 260-422-7455

Dr Stephanie Wise Grosvenor, DO - Medicare Obstetrics & Gynecology in Fort Wayne, IN