Tierney Shannon Grosskopf, MD in Appleton, WI - Medicare Orthopaedic Surgery

Tierney Shannon Grosskopf, MD is a medicare enrolled "Orthopaedic Surgery - Hand Surgery" physician in Appleton, Wisconsin. Her current practice location is 2323 N Casaloma Dr, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 730-8833.

Tierney Shannon Grosskopf is licensed to practice in Wisconsin (license number 85743-20) 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 1851772347.

Contact Information

	Tierney Shannon Grosskopf, MD
	2323 N Casaloma Dr, Appleton, WI 54913-8284
	(920) 730-8833
	Not Available

Map and Direction

Physician's Profile

Full Name	Tierney Shannon Grosskopf
Gender	Female
Speciality	Orthopaedic Surgery - Hand Surgery
Location	2323 N Casaloma Dr, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851772347
Provider Enumeration Date: 06/10/2015
Last Update Date: 08/22/2025

Medicare PECOS Information:

PECOS PAC ID: 6901194851
Enrollment ID: I20240926003730

Medical Identifiers

Medical identifiers for Tierney Shannon Grosskopf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851772347	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XS0106X	Orthopaedic Surgery - Hand Surgery	85743-20 (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. Tierney Shannon Grosskopf allows following entities to bill medicare on her behalf.

Entity Name	University Of Chicago
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094

Entity Name	The University Of Chicago Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203

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. Tierney Shannon Grosskopf 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
Tierney Shannon Grosskopf, MD 2323 N Casaloma Dr, Appleton, WI 54913-8284 Ph: (920) 730-8833	Tierney Shannon Grosskopf, MD 2323 N Casaloma Dr, Appleton, WI 54913-8284 Ph: (920) 730-8833

Reviews and Comments

Orthopaedic Surgery Doctors in Appleton, WI

Thomas G Hoeft, D.O. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1531 S Madison St, Appleton, WI 54915 Phone: 920-996-3700 Fax: 920-996-3739
Ryan Lubbe, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2323 N Casaloma Dr, Appleton, WI 54913 Phone: 920-730-8833
Karen Fields, PA Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2105 E. Enterprise Dr, Appleton, WI 54913 Phone: 920-731-3111 Fax: 920-738-8789
Eric W Erickson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 820 E Grant St, Appleton, WI 54911 Phone: 920-831-5050
Dr. Etienne A. Mejia, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 277 Altenhofen Dr, Appleton, WI 54913 Phone: 920-993-1643 Fax: 920-993-1645
Dr. David Albert Liebelt, M.D., PH.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 820 E Grant St, Appleton, WI 54911 Phone: 920-831-5050
Scott Preston Olvey, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2323 N Casaloma Dr, Appleton, WI 54913 Phone: 920-730-8833 Fax: 920-831-2968

Tierney Shannon Grosskopf, MD - Medicare Orthopaedic Surgery in Appleton, WI