Shannon Grosse, is a
Licensed Practical Nurse based in Syracuse, Nebraska. Shannon Grosse is licensed to practice in Nebraska (license number 15980) and her current practice location is
1430 Education Dr, Syracuse, Nebraska. She can be reached at her office (for appointments etc.) via phone at
(402) 269-2388.
NPI number for Shannon Grosse is 1194453738 and her current mailing address is 550 7th Street, -, Syracuse, Nebraska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194453738.
Provider's Profile
Full Name | Shannon Grosse |
---|
Gender | Female |
---|
Speciality | Licensed Practical Nurse |
---|
Location | 1430 Education Dr, Syracuse, Nebraska |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194453738
- Provider Enumeration Date: 08/11/2022
- Last Update Date: 08/11/2022
Medical Identifiers
Medical identifiers for Shannon Grosse such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194453738 | NPI | - | NPPES |
15980 | Medicaid | NE | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 15980 (Nebraska) | Primary |
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. Shannon Grosse is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon Grosse, 550 7th Street, -, Syracuse, NE 68446 Ph: (402) 269-5866 | Shannon Grosse, 1430 Education Dr, Syracuse, NE 68446-4000 Ph: (402) 269-2388 |
Reviews and Comments