Kimberly Ann Grzybowski, NP-C in Scranton, PA

Kimberly Ann Grzybowski, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Scranton, Pennsylvania. Her current practice location is 1020 W Lackawanna Ave, Scranton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 904-6000.

Kimberly Ann Grzybowski is licensed to practice in Pennsylvania (license number SP019532) 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 1689142283.

Contact Information

	Kimberly Ann Grzybowski, NP-C
	1020 W Lackawanna Ave, Scranton, PA 18504-2052
	(570) 904-6000
	(570) 871-4638

Map and Direction

Provider's Profile

Full Name	Kimberly Ann Grzybowski
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1020 W Lackawanna Ave, Scranton, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689142283
Provider Enumeration Date: 11/13/2018
Last Update Date: 10/09/2024

Medicare PECOS Information:

PECOS PAC ID: 2264822691
Enrollment ID: I20211129002114

Medical Identifiers

Medical identifiers for Kimberly Ann Grzybowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689142283	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	SP019532 (Pennsylvania)	Secondary
363LF0000X	Nurse Practitioner - Family	SP019532 (Pennsylvania)	Primary
363L00000X	Nurse Practitioner	SP019532 (Pennsylvania)	Secondary

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. Kimberly Ann Grzybowski allows following entities to bill medicare on her behalf.

Entity Name	Rural Health Corporation Of Northeastern Pennsylvania
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265801112 PECOS PAC ID: 1052362662 Enrollment ID: O20050201000488

Entity Name	Cleanslate Medical Group Of Pennsylvania Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184177263 PECOS PAC ID: 8426334400 Enrollment ID: O20170405000660

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. Kimberly Ann Grzybowski 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
Kimberly Ann Grzybowski, NP-C 145 Peaceful Valley Rd, Scott Twp, PA 18411-9761 Ph: (570) 351-3424	Kimberly Ann Grzybowski, NP-C 1020 W Lackawanna Ave, Scranton, PA 18504-2052 Ph: (570) 904-6000

Reviews and Comments

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Kimberly Ann Grzybowski, NP-C - Medicare Nurse Practitioner in Scranton, PA