Mallory A Grossman, NP in Goshen, IN - Medicare Nurse Practitioner

Mallory A Grossman, NP is a medicare enrolled "Nurse Practitioner - Family" in Goshen, Indiana. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Goshen Health System Inc and her current practice location is 2024 Dorchester Ct Ste 1, Goshen, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 537-8326.

Mallory A Grossman is licensed to practice in Indiana (license number 71005825A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982082293.

Contact Information

	Mallory A Grossman, NP
	2024 Dorchester Ct Ste 1, Goshen, IN 46526-6546
	(574) 537-8326
	(574) 534-1034

Map and Direction

Provider's Profile

Full Name	Mallory A Grossman
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	2024 Dorchester Ct Ste 1, Goshen, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mallory A Grossman graduated from nursing school in 2014

NPI Data:

NPI Number: 1982082293
Provider Enumeration Date: 05/07/2015
Last Update Date: 03/18/2024

Medicare PECOS Information:

PECOS PAC ID: 7911216007
Enrollment ID: I20151012000261

Medical Identifiers

Medical identifiers for Mallory A Grossman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982082293	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71005825A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Goshen Health System Inc	4880598572	137

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. Mallory A Grossman allows following entities to bill medicare on her behalf.

Entity Name	Goshen Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194772293 PECOS PAC ID: 4880598572 Enrollment ID: O20031124000658

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. Mallory A Grossman 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
Mallory A Grossman, NP 2024 Dorchester Ct Ste 1, Goshen, IN 46526-6546 Ph: () -	Mallory A Grossman, NP 2024 Dorchester Ct Ste 1, Goshen, IN 46526-6546 Ph: (574) 537-8326

Reviews and Comments

Nurse Practitioner Nurses in Goshen, IN

Ingrid K. Bowser, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 High Park Ave, Goshen, IN 46526 Phone: 574-364-2888
Nickie Ralston, MSN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1855 S Main St, Ste A, Goshen, IN 46526 Phone: 574-533-7476 Fax: 574-533-7145
Mrs. Kaitlyn E Delgado, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 213 Middlebury St, Goshen, IN 46528 Phone: 574-534-3300
Mrs. Arin Miller, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1811 Charlton Ct, Goshen, IN 46526 Phone: 574-534-0050
Michelle Joy Miller Good, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 N 3rd St, Goshen, IN 46528 Phone: 573-534-0088 Fax: 573-971-8434
Katie M Schramm, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2222 Rieth Blvd Ste 100, Goshen, IN 46526 Phone: 574-875-1200 Fax: 574-875-0362
Barbara D Springer, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234 Fax: 574-537-2652

Mallory A Grossman, NP - Medicare Nurse Practitioner in Goshen, IN