Collin Grothaus, AGACNP, CNP in Elyria, OH - Medicare Nurse Practitioner

Collin Grothaus, AGACNP, CNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Elyria, Ohio. His current practice location is 630 E River St, Elyria, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 329-7500.

Collin Grothaus is licensed to practice in Ohio (license number 0032129) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730897703.

Contact Information

	Collin Grothaus, AGACNP, CNP
	630 E River St, Elyria, OH 44035-5902
	(440) 329-7500
	Not Available

Map and Direction

Provider's Profile

Full Name	Collin Grothaus
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	630 E River St, Elyria, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730897703
Provider Enumeration Date: 11/09/2022
Last Update Date: 11/09/2022

Medicare PECOS Information:

PECOS PAC ID: 3870964430
Enrollment ID: I20230119000891

Medical Identifiers

Medical identifiers for Collin Grothaus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730897703	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	0032129 (Ohio)	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. Collin Grothaus allows following entities to bill medicare on his behalf.

Entity Name	University Hospitals Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301

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. Collin Grothaus 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
Collin Grothaus, AGACNP, CNP 308 Taft St, Columbus Grove, OH 45830-1122 Ph: (567) 204-4499	Collin Grothaus, AGACNP, CNP 630 E River St, Elyria, OH 44035-5902 Ph: (440) 329-7500

Reviews and Comments

Nurse Practitioner Nurses in Elyria, OH

Bretzyl M Liscoe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-323-8515
Nicole Fatemeh Scavuzzo, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 Chestnut Commons Dr, Elyria, OH 44035 Phone: 440-406-8153 Fax: 440-406-8312
Mary Lauretta Gilchrist, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500
Ms. Amy M. King, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500
Amy M Kovalsky, RN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500
Mrs. Brenda J Life, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 E Broad St, Suite 305, Elyria, OH 44035 Phone: 440-326-4120 Fax: 440-322-3454
Teneisha Taquae Craighead, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-452-0740

Collin Grothaus, AGACNP, CNP - Medicare Nurse Practitioner in Elyria, OH