Dr Kenneth L Grizzle, PHD in Brookfield, WI - Medicare Psychologist Provider

Dr Kenneth L Grizzle, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Brookfield, Wisconsin. His current practice location is 13800 W North Ave, Child Development Center Of Chw, Brookfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 432-6600.

Dr Kenneth L Grizzle is licensed to practice in Wisconsin (license number 2187) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912958737.

Contact Information

	Dr Kenneth L Grizzle, PHD
	13800 W North Ave, Child Development Center Of Chw, Brookfield, WI 53005-4977
	(262) 432-6600
	(262) 432-6604

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenneth L Grizzle
Gender	Male
Speciality	Psychologist - Clinical Child & Adolescent
Location	13800 W North Ave, Brookfield, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912958737
Provider Enumeration Date: 05/15/2006
Last Update Date: 11/21/2013

Medicare PECOS Information:

PECOS PAC ID: 7618051087
Enrollment ID: I20080222000579

Medical Identifiers

Medical identifiers for Dr Kenneth L Grizzle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912958737	NPI	-	NPPES
005000215G	Other		HUMANA
1912958737	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	2187 (Wisconsin)	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. Dr Kenneth L Grizzle allows following entities to bill medicare on his behalf.

Entity Name	The Medical College Of Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259

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. Dr Kenneth L Grizzle 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
Dr Kenneth L Grizzle, PHD 13800 W North Ave, Child Development Center Of Chw, Brookfield, WI 53005-4977 Ph: (262) 432-6600	Dr Kenneth L Grizzle, PHD 13800 W North Ave, Child Development Center Of Chw, Brookfield, WI 53005-4977 Ph: (262) 432-6600

Reviews and Comments

Psychologist in Brookfield, WI

Dr. Kathleen M Schoendorf, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12690 W North Avenue, Elmbrook Family Counseling Center, Brookfield, WI 53005 Phone: 262-785-9188 Fax: 262-785-0644
Dr. Stephen Gary Levine, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17100 W Bluemound Rd, Suite 204, Brookfield, WI 53005 Phone: 262-391-5780 Fax: 262-754-3712
Dr. Rachel A. Roeglin, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005 Phone: 262-789-1191
Kathleen Gehl, PSYD, NP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13965 W Burleigh Rd, Brookfield, WI 53005 Phone: 262-785-6002 Fax: 262-785-2773
Dr. Stephen Martin Saunders, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16535 W Bluemound Rd, Suite Number 200, Brookfield, WI 53005 Phone: 262-542-3255
Susan Eileen Donahoo, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 660 Woelfel Rd, Brookfield, WI 53045 Phone: 262-789-8089
Madeline Bliske, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005 Phone: 262-789-1191

Dr Kenneth L Grizzle, PHD - Medicare Psychologist in Brookfield, WI