Vicky Jo Gross, NP in South Bend, IN - Medicare Nurse Practitioner

Vicky Jo Gross, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in South Bend, Indiana. Her current practice location is 4600 W Washington St, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 282-1294.

Vicky Jo Gross is licensed to practice in Indiana (license number 71011297A) 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 1811590623.

Contact Information

	Vicky Jo Gross, NP
	4600 W Washington St, South Bend, IN 46619-2320
	(574) 282-1294
	Not Available

Map and Direction

Provider's Profile

Full Name	Vicky Jo Gross
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	4600 W Washington St, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811590623
Provider Enumeration Date: 11/16/2020
Last Update Date: 07/22/2021

Medicare PECOS Information:

PECOS PAC ID: 9234532797
Enrollment ID: I20210722000244

Medical Identifiers

Medical identifiers for Vicky Jo Gross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811590623	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	4704270659 (Michigan)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	71011297A (Indiana)	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. Vicky Jo Gross allows following entities to bill medicare on her behalf.

Entity Name	Impact Physician Group Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568930220 PECOS PAC ID: 6608111026 Enrollment ID: O20181212003675

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. Vicky Jo Gross 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
Vicky Jo Gross, NP 140 Canaris St, Constantine, MI 49042-1016 Ph: (269) 464-9118	Vicky Jo Gross, NP 4600 W Washington St, South Bend, IN 46619-2320 Ph: (574) 282-1294

Reviews and Comments

Nurse Practitioner Nurses in South Bend, IN

Beth Ann Hayden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 N Michigan St, Ste 400, South Bend, IN 46601 Phone: 574-647-8470 Fax: 574-647-8475
Rachel Ann Jennings, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000
Kelly Mae Losiniecki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St., South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-204-6355
Mrs. Brandice Lynn Page, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 53760 Generations Dr, South Bend, IN 46635 Phone: 888-938-3838 Fax: 888-919-1083
Gina M. Connolly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 6600, South Bend, IN 46601 Phone: 574-647-8800 Fax: 574-647-8811
Amanda Lundberg, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53830 Generations Dr Ste 110, South Bend, IN 46635 Phone: 574-234-2191
Kendall Hochstedler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Northside Blvd, South Bend, IN 46615 Phone: 574-307-7673 Fax: 574-234-4706

Vicky Jo Gross, NP - Medicare Nurse Practitioner in South Bend, IN