Mrs Stacey Lyn Van Grinsven, MS, CFY-SLP in De Pere, WI - Medicare Speech-Language Pathologist Provider

Mrs Stacey Lyn Van Grinsven, MS, CFY-SLP is a medicare enrolled "Speech-language Pathologist" provider in De Pere, Wisconsin. Her current practice location is 1601 Lawrence Dr Ste 100, De Pere, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Mrs Stacey Lyn Van Grinsven is licensed to practice in Wisconsin (license number 2953-154) 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 1104018514.

Contact Information

	Mrs Stacey Lyn Van Grinsven, MS, CFY-SLP
	1601 Lawrence Dr Ste 100, De Pere, WI 54115-3931
	(920) 496-4700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Stacey Lyn Van Grinsven
Gender	Female
Speciality	Speech-language Pathologist
Location	1601 Lawrence Dr Ste 100, De Pere, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104018514
Provider Enumeration Date: 08/10/2007
Last Update Date: 01/18/2024

Medicare PECOS Information:

PECOS PAC ID: 9739543943
Enrollment ID: I20230906002917

Medical Identifiers

Medical identifiers for Mrs Stacey Lyn Van Grinsven such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104018514	NPI	-	NPPES
42592900	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	2953-154 (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. Mrs Stacey Lyn Van Grinsven allows following entities to bill medicare on her behalf.

Provider Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172

Provider Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

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. Mrs Stacey Lyn Van Grinsven 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
Mrs Stacey Lyn Van Grinsven, MS, CFY-SLP Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700	Mrs Stacey Lyn Van Grinsven, MS, CFY-SLP 1601 Lawrence Dr Ste 100, De Pere, WI 54115-3931 Ph: (920) 496-4700

Reviews and Comments

Speech-Language Pathologist in De Pere, WI

Lori Ann Muench, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 S 9th St, De Pere, WI 54115 Phone: 920-366-5680 Fax: 920-336-5882
Mrs. Megan Marie Ristow, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 S 9th St, De Pere, WI 54115 Phone: 920-336-5680
Sarah Ann Verhagen, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1601 Lawrence Dr Ste 100, De Pere, WI 54115 Phone: 920-496-4700
Speech Spark Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1924 Sinclair Dr, De Pere, WI 54115 Phone: 920-403-0103 Fax: 888-631-0117
Nicole Lindsey Nolte Rierdon, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1601 Lawrence Dr, De Pere, WI 54115 Phone: 920-496-4700
Ashleigh Hayward, M.S.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1601 Lawrence Dr, De Pere, WI 54115 Phone: 920-496-4700

Mrs Stacey Lyn Van Grinsven, MS, CFY-SLP - Medicare Speech-Language Pathologist in De Pere, WI