Kelly Grott, MD in Lafayette, IN - Medicare Pain Medicine

Kelly Grott, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Lafayette, Indiana. Her current practice location is 3001 S Creasy Ln Ste 100a, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 701-6451.

Kelly Grott is licensed to practice in Indiana (license number 01083529A) 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 1801328695.

Contact Information

	Kelly Grott, MD
	3001 S Creasy Ln Ste 100a, Lafayette, IN 47905-5206
	(765) 701-6451
	(765) 420-5801

Map and Direction

Physician's Profile

Full Name	Kelly Grott
Gender	Female
Speciality	Pain Medicine - Interventional Pain Medicine
Location	3001 S Creasy Ln Ste 100a, Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801328695
Provider Enumeration Date: 03/30/2017
Last Update Date: 08/07/2025

Medicare PECOS Information:

PECOS PAC ID: 5799053807
Enrollment ID: I20221021001349

Medical Identifiers

Medical identifiers for Kelly Grott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801328695	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	11020205A (Indiana)	Secondary
207R00000X	Internal Medicine	MED-RES-LIC-58231 (Montana)	Secondary
207L00000X	Anesthesiology	01083529A (Indiana)	Secondary
208VP0014X	Pain Medicine - Interventional Pain Medicine	036156733 (Illinois)	Secondary
208VP0014X	Pain Medicine - Interventional Pain Medicine	01083529A (Indiana)	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. Kelly Grott allows following entities to bill medicare on her behalf.

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

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. Kelly Grott 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
Kelly Grott, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Kelly Grott, MD 3001 S Creasy Ln Ste 100a, Lafayette, IN 47905-5206 Ph: (765) 701-6451

Reviews and Comments

Pain Medicine Doctors in Lafayette, IN

Scot E Hagadorn, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-502-4917 Fax: 765-502-4023
Ryan D Loyd, DO Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8156
Mohamad E. Sebai, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 770 Park East Blvd Ste B, Lafayette, IN 47905 Phone: 347-433-9498
David C Miller, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 3738 Landmark Dr Ste A, Lafayette, IN 47905 Phone: 765-807-2780 Fax: 765-807-2781

Kelly Grott, MD - Medicare Pain Medicine in Lafayette, IN