Ms Melissa Jo Groskreutz, LP is a medicare enrolled "Psychologist" provider in North Mankato, Minnesota. Her current practice location is
342 Belgrade Ave, North Mankato, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 388-3181.
Ms Melissa Jo Groskreutz is licensed to practice in Minnesota (license number LP4018) 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 1255362281.
Healthcare Provider's Profile
Full Name | Ms Melissa Jo Groskreutz |
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Gender | Female |
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Speciality | Psychologist |
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Location | 342 Belgrade Ave, North Mankato, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255362281
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 1153696521
- Enrollment ID: I20171011001283
Medical Identifiers
Medical identifiers for Ms Melissa Jo Groskreutz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255362281 | NPI | - | NPPES |
620220900 | Medicaid | MN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | LP4018 (Minnesota) | 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. Ms Melissa Jo Groskreutz allows following entities to bill medicare on her behalf.
Entity Name | Sioux Trails Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902909914 PECOS PAC ID: 2163313370 Enrollment ID: O20040324001134 |
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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. Ms Melissa Jo Groskreutz 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 |
Ms Melissa Jo Groskreutz, LP 3756 210th Ave, Wells, MN 56097-3205 Ph: () - | Ms Melissa Jo Groskreutz, LP 342 Belgrade Ave, North Mankato, MN 56003-3804 Ph: (507) 388-3181 |
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