Dr Stephanie Wise Grosvenor, DO - Medicare Obstetrics & Gynecology in Manitowoc, WI

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Dr Stephanie Wise Grosvenor, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Manitowoc, Wisconsin. Her current practice location is 1650 S 41st St, Manitowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 476-6200.

Dr Stephanie Wise Grosvenor is licensed to practice in Wisconsin (license number 71584-21) 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 1912193640.

Contact Information

Dr Stephanie Wise Grosvenor, DO
1650 S 41st St,
Manitowoc, WI 54220-7316
(920) 476-6200
Not Available

Map and Direction




Physician's Profile

Full NameDr Stephanie Wise Grosvenor
GenderFemale
SpecialityObstetrics & Gynecology
Location1650 S 41st St, Manitowoc, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912193640
  • Provider Enumeration Date: 09/17/2007
  • Last Update Date: 09/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7517139587
  • Enrollment ID: I20111017000725

Medical Identifiers

Medical identifiers for Dr Stephanie Wise Grosvenor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912193640NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 02006694A (Indiana)Secondary
207V00000XObstetrics & Gynecology 71584-21 (Wisconsin)Primary
207V00000XObstetrics & Gynecology 1132870 (Michigan)Secondary

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 Stephanie Wise Grosvenor allows following entities to bill medicare on her behalf.
Entity NameOb-gyn Assoc Of Marquette Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942394861
PECOS PAC ID: 4789650243
Enrollment ID: O20040907000346
Entity NameUpper Great Lakes Family Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700103777
PECOS PAC ID: 1951432384
Enrollment ID: O20100629000853

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 Stephanie Wise Grosvenor 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 AddressPractice Location Address
Dr Stephanie Wise Grosvenor, DO
1650 S 41st St,
Manitowoc, WI 54220-7316

Ph: (920) 476-6200		Dr Stephanie Wise Grosvenor, DO
1650 S 41st St,
Manitowoc, WI 54220-7316

Ph: (920) 476-6200

Reviews and Comments


Obstetrics & Gynecology Doctors in Manitowoc, WI

Robert Nolan Hetz, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 304 N Rapids Rd, Manitowoc, WI 54220
Phone: 920-683-0321    Fax: 920-683-9078
Dr. William C Leach Jr., DO
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 600 York St, Manitowoc, WI 54220
Phone: 920-320-8742    Fax: 920-320-8775
Sivakami Kangayappan, M.D
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1220 Fleetwood Dr, Manitowoc, WI 54220
Phone: 920-684-9415    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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