Eugene Frances Grzywacz, PMHNP-BC in Tempe, AZ

Eugene Frances Grzywacz, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tempe, Arizona. His current practice location is 123 E Baseline Rd Ste D104, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 718-0568.

Eugene Frances Grzywacz is licensed to practice in Arizona (license number 236104) 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 1922647064.

Contact Information

	Eugene Frances Grzywacz, PMHNP-BC
	123 E Baseline Rd Ste D104, Tempe, AZ 85283-1291
	(480) 718-0568
	Not Available

Map and Direction

Provider's Profile

Full Name	Eugene Frances Grzywacz
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	123 E Baseline Rd Ste D104, Tempe, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922647064
Provider Enumeration Date: 01/06/2020
Last Update Date: 01/13/2020

Medicare PECOS Information:

PECOS PAC ID: 1759717184
Enrollment ID: I20200204000616

Medical Identifiers

Medical identifiers for Eugene Frances Grzywacz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922647064	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	236104 (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. Eugene Frances Grzywacz allows following entities to bill medicare on his behalf.

Entity Name	Codac Health Recovery And Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033156567 PECOS PAC ID: 6103813811 Enrollment ID: O20040426001693

Entity Name	Cope Community Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689196420 PECOS PAC ID: 9537131198 Enrollment ID: O20040812000914

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. Eugene Frances Grzywacz 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
Eugene Frances Grzywacz, PMHNP-BC Po Box 17779, Phoenix, AZ 85011-0779 Ph: (480) 718-0568	Eugene Frances Grzywacz, PMHNP-BC 123 E Baseline Rd Ste D104, Tempe, AZ 85283-1291 Ph: (480) 718-0568

Reviews and Comments

Nurse Practitioner Nurses in Tempe, AZ

Mr. Christopher Ian Earle, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1835 E 6th St, Ste 21, Tempe, AZ 85281 Phone: 480-581-6981
Joan Marie Cobb, MSN, APN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2163 E Baseline Rd Ste 101, Tempe, AZ 85283 Phone: 480-646-8123 Fax: 480-646-8125
Ms. Judith Ann Abell, MS, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1437 W Auto Dr, Tempe, AZ 85284 Phone: 602-362-2983 Fax: 855-889-8024
Mrs. Eva Yihui Wang, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 451 E University Dr, Tempe, AZ 85281 Phone: 480-965-3349 Fax: 490-965-9555
Alayna M Despain, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2033 E Warner Rd, Suite 109, Tempe, AZ 85284 Phone: 480-820-5525 Fax: 480-831-6755
Mrs. Jennifer Lindsey Atwood Green, RN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 618 S Madison Dr, Tempe, AZ 85281 Phone: 480-784-1514
Patricia Ann Faust, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6200 S Mcclintock Dr, 104, Tempe, AZ 85283 Phone: 480-388-3666 Fax: 480-388-3667

Eugene Frances Grzywacz, PMHNP-BC - Medicare Nurse Practitioner in Tempe, AZ