Grace Kanzenbach, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Grafton, Wisconsin. Her current practice location is
361 Falls Rd # 688, Grafton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 668-4035.
Grace Kanzenbach is licensed to practice in Wisconsin (license number 9574-123) 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 1134716418.
Healthcare Provider's Profile
Full Name | Grace Kanzenbach |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 361 Falls Rd # 688, Grafton, Wisconsin |
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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: 1134716418
- Provider Enumeration Date: 12/21/2020
- Last Update Date: 03/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072919463
- Enrollment ID: I20210910000206
Medical Identifiers
Medical identifiers for Grace Kanzenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134716418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 9574-123 (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. Grace Kanzenbach allows following entities to bill medicare on her behalf.
Entity Name | Reflections Mental Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720623226 PECOS PAC ID: 3375949761 Enrollment ID: O20210910000101 |
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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. Grace Kanzenbach 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 |
Grace Kanzenbach, LCSW 2802 Coho St Ste 203, Madison, WI 53713-4521 Ph: () - | Grace Kanzenbach, LCSW 361 Falls Rd # 688, Grafton, WI 53024-2617 Ph: (608) 668-4035 |
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