Cathryn Griepentrog, in Mesa, AZ - Medicare Nurse Practitioner

Cathryn Griepentrog, is a medicare enrolled "Nurse Practitioner - Gerontology" in Mesa, Arizona. Her current practice location is 7227 E Baseline Rd Ste 129, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (435) 514-5646.

Cathryn Griepentrog is licensed to practice in Arizona (license number 246235) 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 1104402114.

Contact Information

	Cathryn Griepentrog,
	7227 E Baseline Rd Ste 129, Mesa, AZ 85209-5006
	(435) 514-5646
	Not Available

Map and Direction

Provider's Profile

Full Name	Cathryn Griepentrog
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	7227 E Baseline Rd Ste 129, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104402114
Provider Enumeration Date: 03/20/2021
Last Update Date: 06/06/2024

Medicare PECOS Information:

PECOS PAC ID: 6709289564
Enrollment ID: I20210730002339

Medical Identifiers

Medical identifiers for Cathryn Griepentrog such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104402114	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	246235 (Arizona)	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. Cathryn Griepentrog allows following entities to bill medicare on her behalf.

Entity Name	Century Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346499324 PECOS PAC ID: 3971665605 Enrollment ID: O20090203000530

Entity Name	Cogent Healthcare Of Arizona Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568758266 PECOS PAC ID: 0648441006 Enrollment ID: O20110915000843

Entity Name	Allied Internal Medicine Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124408232 PECOS PAC ID: 7315251964 Enrollment ID: O20150917003141

Entity Name	Atlas Medical Aco Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396573705 PECOS PAC ID: 1456885227 Enrollment ID: O20250416003928

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. Cathryn Griepentrog 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
Cathryn Griepentrog, Po Box 4682, Logan, UT 84323-4682 Ph: (435) 514-5646	Cathryn Griepentrog, 7227 E Baseline Rd Ste 129, Mesa, AZ 85209-5006 Ph: (435) 514-5646

Reviews and Comments

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Cathryn Griepentrog, - Medicare Nurse Practitioner in Mesa, AZ