Mrs Mallory Williams Grose, ANP-C in Mount Airy, NC

Mrs Mallory Williams Grose, ANP-C is a medicare enrolled "Nurse Practitioner" in Mount Airy, North Carolina. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Forsyth Memorial Hospital Inc and her current practice location is 694 Riverside Dr, Mount Airy, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 719-7892.

Mrs Mallory Williams Grose is licensed to practice in North Carolina (license number 5005508) 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 1093089575.

Contact Information

	Mrs Mallory Williams Grose, ANP-C
	694 Riverside Dr, Mount Airy, NC 27030
	(336) 719-7892
	(336) 719-7898

Map and Direction

Provider's Profile

Full Name	Mrs Mallory Williams Grose
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	694 Riverside Dr, Mount Airy, North Carolina
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:

Mrs Mallory Williams Grose graduated from nursing school in 2011

NPI Data:

NPI Number: 1093089575
Provider Enumeration Date: 03/01/2012
Last Update Date: 08/02/2024

Medicare PECOS Information:

PECOS PAC ID: 6002076056
Enrollment ID: I20120328000626

Medical Identifiers

Medical identifiers for Mrs Mallory Williams Grose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093089575	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5005508 (North Carolina)	Primary
363LA2200X	Nurse Practitioner - Adult Health	363LA2200X (North Carolina)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Novant Health Forsyth Medical Center	Winston-salem, NC	Hospital
Northern Regional Hospital	Mount airy, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Forsyth Memorial Hospital Inc	9537071790	516

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 Mallory Williams Grose allows following entities to bill medicare on her behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Entity Name	Forsyth Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702

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 Mallory Williams Grose 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 Mallory Williams Grose, ANP-C Po Box 751803, Charlotte, NC 28275-1803 Ph: (336) 719-7892	Mrs Mallory Williams Grose, ANP-C 694 Riverside Dr, Mount Airy, NC 27030 Ph: (336) 719-7892

Reviews and Comments

Nurse Practitioner Nurses in Mount Airy, NC

Rebecca Reed, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 414 W Lebanon St, Mount Airy, NC 27030 Phone: 336-789-9492
Dr. Marian Patricia Michel, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1008 Old Rockford St, Mount Airy, NC 27030 Phone: 336-719-0400 Fax: 336-719-0582
Amy Leigh Puckett-lawson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2133 Rockford St Ste 1400, Mount Airy, NC 27030 Phone: 336-719-0398 Fax: 336-719-0494
Natalie Susanne Hall, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 S South St, Mount Airy, NC 27030 Phone: 336-786-4522 Fax: 336-789-3025
David Allen Bishop Jr., RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 Scenic Outlet Ln Ste 2, Mount Airy, NC 27030 Phone: 336-939-5660
Brittany Knicely Street, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 280 N Pointe Blvd, Mount Airy, NC 27030 Phone: 336-786-4133 Fax: 336-783-3417

Mrs Mallory Williams Grose, ANP-C - Medicare Nurse Practitioner in Mount Airy, NC