Stacy Ann Grossman, DNP is a medicare enrolled "Nurse Practitioner - Family" in Pillager, Minnesota. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lakewood Health System and her current practice location is
12593 Lower Sylvan Rd Sw, Pillager, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 831-8152.
Stacy Ann Grossman is licensed to practice in Minnesota (license number 7591) 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 1538772652.
Provider's Profile
| Full Name | Stacy Ann Grossman |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 12593 Lower Sylvan Rd Sw, Pillager, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stacy Ann Grossman graduated from nursing school in 2020
NPI Data:
- NPI Number: 1538772652
- Provider Enumeration Date: 08/28/2020
- Last Update Date: 04/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082026836
- Enrollment ID: I20231026001370
Medical Identifiers
Medical identifiers for Stacy Ann Grossman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538772652 | NPI | - | NPPES |
| 7591 | Medicaid | MN | |
| 7591 | Other | MN | MEDICAID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 7591 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lakewood Health System | 1052229671 | 78 |
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. Stacy Ann Grossman allows following entities to bill medicare on her behalf.
| Entity Name | Cavalier County Memorial Hospital Association |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1750328662
PECOS PAC ID: 5092623520
Enrollment ID: O20040216000293 |
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| Entity Name | Cavalier County Memorial Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750328662
PECOS PAC ID: 5092623520
Enrollment ID: O20040527000411 |
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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. Stacy Ann 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 |
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Stacy Ann Grossman, DNP
12593 Lower Sylvan Rd Sw,
Pillager, MN 56473-2267
Ph: (218) 831-8152 | Stacy Ann Grossman, DNP
12593 Lower Sylvan Rd Sw,
Pillager, MN 56473-2267
Ph: (218) 831-8152 |
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