Craig A Groskreutz, MS, LPC is a medicare enrolled "Psychologist" provider in West Bend, Wisconsin. His current practice location is
111 E Washington St, West Bend, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 338-2717.
Craig A Groskreutz is licensed to practice in Wisconsin (license number 5429-57) 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 1376015701.
Healthcare Provider's Profile
| Full Name | Craig A Groskreutz |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 111 E Washington St, West Bend, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376015701
- Provider Enumeration Date: 12/25/2018
- Last Update Date: 09/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 5890145296
- Enrollment ID: I20231227003048
Medical Identifiers
Medical identifiers for Craig A Groskreutz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376015701 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 7205-125 (Wisconsin) | Secondary |
| 103T00000X | Psychologist | 5429-57 (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. Craig A Groskreutz allows following entities to bill medicare on his behalf.
| Entity Name | Affiliated Clinical Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851473698
PECOS PAC ID: 0244124899
Enrollment ID: O20040212000835 |
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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. Craig A 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 |
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Craig A Groskreutz, MS, LPC
104a Fence Line Ave,
Iron Ridge, WI 53035
Ph: (608) 317-5544 | Craig A Groskreutz, MS, LPC
111 E Washington St,
West Bend, WI 53095-2571
Ph: (262) 338-2717 |
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