Mrs Lora Lee Grutkowski, RN FNP-BC ACNS-BC in Sebastopol, CA

Mrs Lora Lee Grutkowski, RN FNP-BC ACNS-BC is a medicare enrolled "Nurse Practitioner" in Sebastopol, California. Her current practice location is 5883 Vine Hill Road, Sebastopol, California. You can reach out to her office (for appointments etc.) via phone at (707) 824-8200.

Mrs Lora Lee Grutkowski is licensed to practice in California (license number NP #18178) 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 1134280464.

Contact Information

	Mrs Lora Lee Grutkowski, RN FNP-BC ACNS-BC
	5883 Vine Hill Road, Sebastopol, CA 95472
	(707) 824-8200
	(707) 823-5800

Map and Direction

Provider's Profile

Full Name	Mrs Lora Lee Grutkowski
Gender	Female
Speciality	Nurse Practitioner
Location	5883 Vine Hill Road, Sebastopol, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134280464
Provider Enumeration Date: 12/12/2006
Last Update Date: 09/24/2008

Medicare PECOS Information:

PECOS PAC ID: 3476732140
Enrollment ID: I20110126001160

Medical Identifiers

Medical identifiers for Mrs Lora Lee Grutkowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134280464	NPI	-	NPPES
CNS013810	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN #365475 (California)	Secondary
163WR0006X	Registered Nurse - Registered Nurse First Assistant	RN #365475 (California)	Secondary
364S00000X	Clinical Nurse Specialist	CNS #1381 (California)	Secondary
363L00000X	Nurse Practitioner	NP #18178 (California)	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. Mrs Lora Lee Grutkowski allows following entities to bill medicare on her behalf.

Entity Name	Western Sierra Medical Clinic Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851513469 PECOS PAC ID: 3971571217 Enrollment ID: O20040923000686

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. Mrs Lora Lee Grutkowski 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
Mrs Lora Lee Grutkowski, RN FNP-BC ACNS-BC 5883 Vine Hill Road, Sebastopol, CA 95472 Ph: (707) 824-8200	Mrs Lora Lee Grutkowski, RN FNP-BC ACNS-BC 5883 Vine Hill Road, Sebastopol, CA 95472 Ph: (707) 824-8200

Reviews and Comments

Nurse Practitioner Nurses in Sebastopol, CA

Shannon Williams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7416 Calder Ave, Sebastopol, CA 95472 Phone: 707-303-5410
Ms. Elaine Weil, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7064 Corline Ct Ste A, Sebastopol, CA 95472 Phone: 707-829-5900 Fax: 707-829-5282
Kathleen Brannan Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7064 Corline Ct, Suite C1, Sebastopol, CA 95472 Phone: 707-595-0992
Tracy Austin Dempsey, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2264 Green Hill Rd, Sebastopol, CA 95472 Phone: 707-503-0962
Katherine Ann Miller, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 652 Petaluma Ave Ste H, Sebastopol, CA 95472 Phone: 707-823-3166
Joseph Harnett Hatheway, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 568 Live Oak Ave Ste H, Sebastopol, CA 95472 Phone: 707-823-3166 Fax: 707-869-8170
Terri Joan Drew, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 Morris St Ste L, Sebastopol, CA 95472 Phone: 707-321-0231 Fax: 707-401-1138

Mrs Lora Lee Grutkowski, RN FNP-BC ACNS-BC - Medicare Nurse Practitioner in Sebastopol, CA