Liam Samuel Groseclose, in Austell, GA - Medicare Nurse Practitioner

Liam Samuel Groseclose, is a medicare enrolled "Nurse Practitioner - Family" in Austell, Georgia. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Pruitthealth Physicians Services Llc and his current practice location is 1700 Mulkey Rd, Austell, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 941-5750.

Liam Samuel Groseclose is licensed to practice in Georgia (license number RN223393) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609376763.

Contact Information

	Liam Samuel Groseclose,
	1700 Mulkey Rd, Austell, GA 30106-1116
	(770) 941-5750
	Not Available

Map and Direction

Provider's Profile

Full Name	Liam Samuel Groseclose
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	1700 Mulkey Rd, Austell, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Liam Samuel Groseclose graduated from nursing school in 2017

NPI Data:

NPI Number: 1609376763
Provider Enumeration Date: 02/15/2018
Last Update Date: 11/04/2020

Medicare PECOS Information:

PECOS PAC ID: 4486905288
Enrollment ID: I20180918001770

Medical Identifiers

Medical identifiers for Liam Samuel Groseclose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609376763	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN223393 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pruitthealth Physicians Services Llc	8123327061	9

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. Liam Samuel Groseclose allows following entities to bill medicare on his behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

Entity Name	Pruitthealth Physicians Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043676299 PECOS PAC ID: 8123327061 Enrollment ID: O20160428000256

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. Liam Samuel Groseclose 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
Liam Samuel Groseclose, 3576 S Sherwood Rd Se, Smyrna, GA 30082-2832 Ph: (678) 522-1963	Liam Samuel Groseclose, 1700 Mulkey Rd, Austell, GA 30106-1116 Ph: (770) 941-5750

Reviews and Comments

Nurse Practitioner Nurses in Austell, GA

Mrs. Kelsey Irene Fortier, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1605 Mulkey Rd, Suite 220, Austell, GA 30106 Phone: 470-956-3760
Manuel Piri, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1676 Mulkey Rd, Suite A, Austell, GA 30106 Phone: 678-838-6600 Fax: 678-838-6602
Ms. Kristin L Faine, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 E West Connector, Austell, GA 30106 Phone: 770-438-1680
Shawn Michael Kade, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1810 Mulkey Rd Ste 202, Austell, GA 30106 Phone: 770-694-6349
Takiyah Johnson Turks, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1625 Hospital North Dr Ste 150, Austell, GA 30106 Phone: 470-732-6950 Fax: 770-739-0138
Elizabeth Bilfinger Hill, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3825 Medical Park Dr Ste 100, Austell, GA 30106 Phone: 770-948-5578
Mrs. Emily Jane Tackett, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 470-732-5201 Fax: 470-792-5209

Liam Samuel Groseclose, - Medicare Nurse Practitioner in Austell, GA