Kimberly Joan Grzesik, MS, RN, AGACNP-BC in Dyer, IN

Kimberly Joan Grzesik, MS, RN, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in Dyer, Indiana. Her current practice location is 2150 Gettler St Ste 455, Dyer, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 922-7159.

Kimberly Joan Grzesik is licensed to practice in Indiana (license number 71015407A) 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 1407381296.

Contact Information

	Kimberly Joan Grzesik, MS, RN, AGACNP-BC
	2150 Gettler St Ste 455, Dyer, IN 46311-2381
	(219) 922-7159
	(219) 922-4020

Map and Direction

Provider's Profile

Full Name	Kimberly Joan Grzesik
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	2150 Gettler St Ste 455, Dyer, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407381296
Provider Enumeration Date: 04/28/2017
Last Update Date: 08/16/2024

Medicare PECOS Information:

PECOS PAC ID: 1850664343
Enrollment ID: I20170905002626

Medical Identifiers

Medical identifiers for Kimberly Joan Grzesik such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407381296	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	209015536 (Illinois)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	71015407A (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. Kimberly Joan Grzesik allows following entities to bill medicare on her behalf.

Entity Name	Illinois Veterans Home At Manteno
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831248228 PECOS PAC ID: 1658274881 Enrollment ID: O20040127000854

Entity Name	Longevity Clinical Ltc Associates Of Illinois Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407422447 PECOS PAC ID: 7012313919 Enrollment ID: O20210901000368

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 Joan Grzesik 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 Joan Grzesik, MS, RN, AGACNP-BC Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Kimberly Joan Grzesik, MS, RN, AGACNP-BC 2150 Gettler St Ste 455, Dyer, IN 46311-2381 Ph: (219) 922-7159

Reviews and Comments

Nurse Practitioner Nurses in Dyer, IN

Angela M Purcell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 Joliet St, Dyer, IN 46311 Phone: 219-440-7340
Mrs. Milica Ivanov, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1532 Calumet Ave, Dyer, IN 46311 Phone: 219-515-4700
Lady Margarette Tan, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1462 Knighthood Dr, Dyer, IN 46311 Phone: 508-542-5129
Scott T Fairhurst, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 Fax: 219-852-2502
Jaclyn Gale Seremet, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 Richard Rd Ste 2, Dyer, IN 46311 Phone: 219-322-1450 Fax: 219-322-8260
Lisa O'keefe, R.N., A.G.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-322-5747
Mrs. Isabelle Marie Skurka, NP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2150 Gettler St Ste 400, Dyer, IN 46311 Phone: 219-865-0893 Fax: 219-865-3599

Kimberly Joan Grzesik, MS, RN, AGACNP-BC - Medicare Nurse Practitioner in Dyer, IN