Sara Marie Grotefendt, NP in Maryville, IL - Medicare Nurse Practitioner

Sara Marie Grotefendt, NP is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in Maryville, Illinois. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Anderson Medical Group Llc, Southern Obstetric And Gyneco Associates and her current practice location is 6810 State Route 162 Ste 105, Maryville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 288-9320.

Sara Marie Grotefendt is licensed to practice in Illinois (license number 209017373) 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 1255805594.

Contact Information

	Sara Marie Grotefendt, NP
	6810 State Route 162 Ste 105, Maryville, IL 62062-8560
	(618) 288-9320
	(618) 288-9258

Map and Direction

Provider's Profile

Full Name	Sara Marie Grotefendt
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	6810 State Route 162 Ste 105, Maryville, Illinois
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:

Sara Marie Grotefendt graduated from nursing school in 2017

NPI Data:

NPI Number: 1255805594
Provider Enumeration Date: 01/21/2019
Last Update Date: 08/28/2024

Medicare PECOS Information:

PECOS PAC ID: 8820339740
Enrollment ID: I20190402002622

Medical Identifiers

Medical identifiers for Sara Marie Grotefendt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255805594	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	209017373 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph's Hospital	Highland, IL	Hospital
St Josephs Hospital	Breese, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anderson Medical Group Llc	5193792018	122
Southern Obstetric And Gyneco Associates	7315902509	8

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. Sara Marie Grotefendt allows following entities to bill medicare on her behalf.

Entity Name	Anderson Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700807716 PECOS PAC ID: 5193792018 Enrollment ID: O20040910001137

Entity Name	Southern Obstetric & Gyneco Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467419804 PECOS PAC ID: 7315902509 Enrollment ID: O20041130000387

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. Sara Marie Grotefendt 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
Sara Marie Grotefendt, NP 6810 State Route 162, Box 215, Maryville, IL 62062 Ph: (618) 391-6495	Sara Marie Grotefendt, NP 6810 State Route 162 Ste 105, Maryville, IL 62062-8560 Ph: (618) 288-9320

Reviews and Comments

Nurse Practitioner Nurses in Maryville, IL

Mrs. Katherine Anne Burnley, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2133 Vadalabene Dr, Suite 5b, Maryville, IL 62062 Phone: 618-288-7605 Fax: 618-288-7644
Mrs. Christie Marie Keen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 Fax: 618-288-4088
Alyssa Ruwe Martz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162, Suite 123, Maryville, IL 62062 Phone: 618-288-9460 Fax: 618-288-9461
Mrs. Joann Marie Wilson, RN, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2023 Vadalabene Dr Ste 300, Maryville, IL 62062 Phone: 618-288-6722 Fax: 618-288-2077
Jennifer D Wesselman-williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2023 Vadalabene Dr Ste 200, Maryville, IL 62062 Phone: 618-288-7408 Fax: 618-288-7418
Danielle Nicole Fries, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162 Ste 200, Maryville, IL 62062 Phone: 618-288-0900 Fax: 618-288-0909
Deanna Moorman, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2023 Vadalabene Dr, Suite 200, Maryville, IL 62062 Phone: 618-288-7408

Sara Marie Grotefendt, NP - Medicare Nurse Practitioner in Maryville, IL