Kaitlin Rose Grigoryev, in Germantown, WI - Medicare Nurse Practitioner

Kaitlin Rose Grigoryev, is a medicare enrolled "Nurse Practitioner - Family" in Germantown, Wisconsin. Her current practice location is N112w15415 Mequon Rd, Germantown, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 250-7800.

Kaitlin Rose Grigoryev is licensed to practice in Wisconsin (license number 13152) 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 1619601770.

Contact Information

	Kaitlin Rose Grigoryev,
	N112w15415 Mequon Rd, Germantown, WI 53022-3410
	(262) 250-7800
	Not Available

Map and Direction

Provider's Profile

Full Name	Kaitlin Rose Grigoryev
Gender	Female
Speciality	Nurse Practitioner - Family
Location	N112w15415 Mequon Rd, Germantown, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619601770
Provider Enumeration Date: 07/14/2022
Last Update Date: 02/15/2024

Medicare PECOS Information:

PECOS PAC ID: 8820440027
Enrollment ID: I20240123002591

Medical Identifiers

Medical identifiers for Kaitlin Rose Grigoryev such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619601770	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	13152 (Wisconsin)	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. Kaitlin Rose Grigoryev allows following entities to bill medicare on her behalf.

Entity Name	Columbia St Marys Hospital Milwaukee Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057

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. Kaitlin Rose Grigoryev 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
Kaitlin Rose Grigoryev, 400 W River Woods Pkwy, Glendale, WI 53212-1060 Ph: () -	Kaitlin Rose Grigoryev, N112w15415 Mequon Rd, Germantown, WI 53022-3410 Ph: (262) 250-7800

Reviews and Comments

Nurse Practitioner Nurses in Germantown, WI

Kaylee Rose Treesh, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: W168n11237 Western Ave, Germantown, WI 53022 Phone: 262-253-5060
Mrs. Carolyn J Metternich, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: N120w13079 Freistadt Rd, Germantown, WI 53022 Phone: 262-707-1229
Dr. Erin Therese Grueneberg, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W153 N9990 Neptune Drive, Germantown, WI 53022 Phone: 608-475-0758
Alyssa Tennies, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W168n11237 Western Ave, Germantown, WI 53022 Phone: 262-253-5060 Fax: 262-532-3467
Cheryl Kaminski, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: N112w15415 Mequon Rd, Germantown, WI 53022 Phone: 262-250-7800 Fax: 262-257-7982
Jessica Ewig, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W168n11237 Western Ave, Germantown, WI 53022 Phone: 262-253-5060
Jamie W Simon, FNP, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: N112w17975 Mequon Rd, Germantown, WI 53022 Phone: 262-532-7600 Fax: 262-532-7602

Kaitlin Rose Grigoryev, - Medicare Nurse Practitioner in Germantown, WI